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多骨Paget病一例

梁宏伟,彭旭兰,刘炯

CHINESE JOURNAL OF NUCLEAR MEDICINE（2011）

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Abstract
患者男,72岁,因"四肢、背部疼痛1年,进行性加重3个月"就诊.患者1年前出现不明原因的四肢近关节处及腰背部疼痛,在当地医院未能明确诊断,只给予对症治疗;近3个月疼痛逐渐加重,自觉部位较深,并出现翻身困难.体格检查:四肢活动受限,腰背部及双下肢近关节处压痛明显,疼痛部位皮温升高.X线检查:腰椎侧位片可见椎体中央骨质密度减低,并有囊肿透亮区,椎体呈"画框"样改变(图1a).
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