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病历摘要例1.女性,28岁,左小腿上部酸痛一年,半年来局部逐渐肿胀。体检:左小腿上部伸面软组织肿胀,局部有明显压痛,扪及肿块边界不清,质中等,似有弹性。x 片检查,左胫骨上段有囊性透明破坏区,骨皮质变薄,呈偏心性,囊内有间隔。拟诊,囊性病变,手术治疗,术中见囊肿骨壁薄,腔内有黄色液体和暗红色血性液体流出,用力搔刮后见局部有较多出血呈搏动性。病理检查:动脉瘤样骨囊肿。随访三年未复发。例2,女性,33岁,左锁骨中部酸痛一年,局部肿胀隆起半年。体检:肿块约10×6cm 范围,压痛,有乒乓球囊性感,左上肢外展上举活动障碍,x 线检查:左锁骨中1/3处偏内有一骨囊性透亮区,膨胀,内有骨性间隔。病理报告:动脉瘤样骨囊肿。术后一年半拍片检查未复发。
Case summary 1. Female, 28 years old, had a sore upper left leg for a year and gradually became swollen in the past six months. Physical examination: The soft tissue in the upper leg of the left calf is swollen. There is marked tenderness in the local area. The boundary between the fistula and the mass is unclear. It is of medium quality and seems elastic. In the x-ray examination, the upper segment of the left iliac bone had a cystic clear zone of destruction, the cortical bone became thin and eccentric, and there was a gap in the sac. For diagnosis, cystic lesions, and surgical treatment, the cysts have thin bone walls, yellow liquid and dark red bloody fluid flow out of the cavity, and there are more bleedings that are pulsatile after bruising. Pathological examination: Aneurysmal bone cyst. Followed up for three years without recurrence. Case 2, female, 33 years old, with a year of soreness in the left middle of the clavicle, local swelling bulging for six months. Physical examination: The mass is about 10×6cm in range, tenderness, sexy ping-pong balloon, movement disorder on the upper extremity of the left upper extremity, x-ray examination: there is a bone cystic translucent area in the middle 1/3 of the left clavicle, swelling, internal Bone gap. Pathology report: Aneurysmal bone cyst. One year and a half after the surgery did not relapse.