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作者报告13例孤立性胸锁关节肿胀及疼痛,分三组:1.急性起病组计4例:胸锁关节化脓3例。恶性转移病变1例,临床病史短(<6周),白细胞总数增高,X 线片显示锁骨内端骨侵蚀及骨硬化,骨皮质边缘消失,锁骨远端软骨下有透光性阴影,针吸活检为败血性关节炎。一例喉癌术后一年发生左胸锁关节肿胀疼痛,X 线摄片可见锁骨内端极轻度骨质破坏,针吸活检证实分化不良鳞癌。
The authors reported 13 cases of solitary sternoclavicular joint swelling and pain, divided into three groups: 1. Acute onset group of 4 cases: sternoclavicular joint suppuration in 3 cases. Malignant metastatic lesions in 1 case, clinical history is short (<6 weeks), the total number of white blood cells increased, X-ray showed clavicular bone erosion and osteosclerosis, bone edge disappeared, the distal clavicle under the cartilage has a light shadow, needle The biopsy was septic arthritis. One case of laryngeal cancer occurred one year after surgery, left chest lock joint swelling and pain, X-ray film shows very slight bone destruction in the clavicle, needle biopsy confirmed poorly differentiated squamous cell carcinoma.