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男患 ,2 2岁。因腰骶痛伴右下肢疼痛 2月 ,加重 1周入院。查体 :Ｌ5 Ｓ1 椎体及椎旁有明显压痛 ,叩击Ｌ5 Ｓ1 椎体时右下肢有放射痛 ,右下肢直腿抬高试验 40°(+) ,全身浅表淋巴结未触及肿大。实验室检查血常规正常 ,血沉 70ｍｍ/ｈ。腰骶椎ＭＲＩ示Ｌ5 Ｓ1 椎体破坏。考虑为脊
Male patient, 22 years old. Due to lumbosacral pain associated with right lower extremity in February, an increase of 1 week was admitted. Physical examination: L5 S1 showed tenderness in the vertebral body and paravertebral body. There was radiating pain in the right lower limb when sniping on the L5 S1 vertebral body. The straight leg raising test in the right lower limb was 40° (+). The superficial lymph nodes were not touched and swollen. The blood test was normal in the laboratory and the blood sedimentation rate was 70mm/h. Lumbar sacral MRI shows L5 S1 vertebral destruction. Consider the ridge