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目的 总结儿童胫骨应力骨折的特点及诊断治疗体会。方法 1995～ 1998年治疗儿童应力性骨折 13例 ,诊断依据①准确的病史 :参加了不习惯的 ,重复费力的活动 ,疼痛呈间歇性发作 ,活动后疼痛或疼痛加重 ,休息后缓解 ;②体征 :局限性压痛而无软组织肿块 ;③适当的影像学检查 ,最常累及胫骨上 1/ 3的后内侧。 13例采用保守治疗的方法 ,如减少活动、休息和局部石膏托固定治疗。结果 经上述处理 ,13例均获治愈。恢复体育锻炼或训练。结论 虽然儿童胫骨应力骨折相对少见。但遇有上述典型的病史、体征时 ,应高度怀疑之 ,并做适当的影像学检查。病史、体征不典型 ,但X线平片上有明显新生骨形成时 ,特点是位于胫骨上 1/ 3的后内侧 ,应考虑到应力骨折 ,以区别骨感染和骨肿瘤 ,做出正确诊断 ,进而得到恰当的治疗
Objective To summarize the characteristics and diagnosis and treatment of tibia stress fractures in children. Methods From 1995 to 1998, 13 cases of stress fracture were diagnosed in children. The diagnosis was based on ① accurate history: taking part in an unaccustomed, repetitive and laborious activity with intermittent episodes of pain, aggravation of pain or pain after exercise and relief after rest; : Limited tenderness without soft tissue mass; ③ appropriate imaging examination, most often involving the tibia on the 1/3 of the posteromedial. Thirteen patients received conservative treatment such as reduction of activity, rest and local plaster fixation. Results After the above treatment, 13 cases were cured. Resume physical activity or training. Conclusion Although children’s tibia stress fractures are relatively rare. However, in the case of the typical medical history, signs, should be highly suspected, and make the appropriate imaging examination. History, signs of atypical, but there are obvious new bone formation on X-ray, is located in the tibia after 1/3 of the medial, should consider the stress fracture, to distinguish between bone infection and bone tumors, to make the correct diagnosis, and thus Get the proper treatment