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为探讨军训所致耻骨支应力性骨折的临床诊断及治疗 ,分析了 6 6例军训所致耻骨支应力性骨折的临床表现 ,男 18例 ,女 4 8例 ,年龄 18～2 1岁 ,5 5例为参加入伍基础训练的新兵 ,11例为参加大强度正步训练的老兵。6 6例均诉患侧腹股沟内缘疼痛 ,运动时加重、休息时减轻 ,疼痛首次出现在军训后第 3～ 10周 ,持续时间为 1周～14个月 ,2 2例在卫生队就诊者均误为肌肉拉伤。 6 6例共有 76处骨折 ,一侧耻骨下支骨折 5 6例 ,双侧耻骨下支骨折 6例 ,同侧耻骨上下支骨折 4例。提示本病并非罕见 ,但临床极易误漏诊 ;加深认识 ,根据病史适时进行影像学检查是诊断的关键
In order to explore the clinical diagnosis and treatment of puborenal stress fractures caused by military training, the clinical manifestations of pubis branch fractures caused by military training were analyzed. There were 18 males and 48 females, aged 18-21 years, 5 5 cases were recruits who participated in the basic training of enlistment and 11 cases were veterans who participated in intensive forward training. Sixty-six patients complained of pain in the inner margins of the ipsilateral groin, aggravating during exercise and relieving at rest. The pain appeared for the first time in the 3rd to 10th weeks after the military training, with a duration of 1 week to 14 months. Twenty-two patients in the health team Are mistaken for muscle strain. Sixty-six cases had 76 fractures, including 56 cases of subdural fractures on one side, 6 cases of bilateral subdural fractures on both sides, and 4 cases of fracture on the ipsilateral pubis. Tip of the disease is not uncommon, but the clinical easily missed diagnosis; to deepen understanding, based on medical history of imaging examination is the key to diagnosis