Air strikes killed 19 civilians Monday in Syria's last major opposition bastion, the site of the deadliest clashes between regime forces and armed groups since an August ceasefire, a monitor said.

More than 100 kilometres (60 miles) to the north, a Turkish artillery attack on a Kurdish-held city in Aleppo province killed 11 civilians, including eight children, the Syrian Observatory for Human Rights war monitor said.

Syria's bloody eight-year-long conflict has killed more than 370,000 people and displaced millions since it started in 2011.

It continues to claim scores of civilian lives, especially in areas outside government control.

On Monday, regime air raids killed 13 civilians in a market in the Idlib region town of Maaret al-Numan, the Britain-based Observatory said.

An AFP correspondent saw rescue workers carry a wounded man away on a stretcher while a body lay motionless amid spilt oranges and bags of onions.

Maher Mohammed, 35, a vendor in the market, said it was the most frightening bombardment he had witnessed in years.

"We ran inside the shops and threw ourselves on the ground," the father of five told AFP.

"They bombarded half the market," he said.

The Observatory said six others died in Russian and regime bombardment in other parts of Idlib, which is largely under the control of a group dominated by a former Al-Qaeda affiliate.

- Fighting rages -

On the southeastern edge of the region, regime forces and armed groups were locked in heavy clashes, with almost 100 fighters killed in three days, according to Observatory.

The battles on the fringes of Idlib since Saturday are the most deadly since a Russia-brokered ceasefire went into effect in late August, it said.

Fifty-four regime fighters have been killed since Saturday and 47 of their foes including 33 jihadists have also lost their lives, the Observatory said.

President Bashar al-Assad has long maintained that his government will eventually reimpose its control over the northwestern region on the border with Turkey.

The late August ceasefire came months into a devastating Russia-backed regime offensive that killed around 1,000 civilians and ousted hundreds of thousands from their homes.

But sporadic clashes and deadly Russian and regime bombardment on the jihadist-held bastion have continued, with 179 civilians including 45 children killed during that time.

In the strategic city of Tal Rifaat, controlled by local Kurdish fighters, a Turkish artillery attack hit near a school as students were leaving the building.

Most of the 11 civilians killed in the shelling had been displaced from the Afrin region captured last year by Turkish troops and their Syrian proxies, Observatory head Rami Abdel Rahman said.

Footage released by Kurdish-run media purported to show bloody and bandaged young men being carried into a crowded medical facility after the attack.

Wrapped in thick wool blankets, bodies were lined up on the floor of an empty room in the same facility.

Outside, relatives broke-down crying.

- 'Terrorise residents' -

The Kurdish-led Syrian Democratic Forces condemned the attack in statement, saying it served "to terrorise residents so that they would flee the area".

Tal Rifaat, located 20 kilometres (12 miles) south of Turkey's frontier, is the site of regular confrontations between Turkish-backed forces and Kurdish fighters.

Turkey threatened to launch a cross-border offensive to capture Tal Rifaat last year after taking Afrin from the US-backed People's Protection Units (YPG) militia.

But Russia intervened to stop the planned offensive.

In October, it said it agreed to work with Turkey to remove all YPG militia "elements and their weapons" from Tal Rifaat.

But in early November, Turkish President Recep Tayyip Erdogan said Kurdish "terror groups" had still not left.

Tal Rifaat is held by local Kurdish fighters displaced from Afrin, the Observatory head said, adding that Russian forces and regime troops are also currently deployed inside the town.

Russian and regime forces have also deployed in several parts of northeast Syria as part of seperate deals with Ankara and Kurdish authorities following a cross-border Turkish operation launched in October.

In the two months since the operation began, Turkey has driven Kurdish fighters away from a so-called "safe zone" in a 120-kilometre-long strip along the border, where it says it wants to resettle Syrian refugees.

Amid threats of further attacks, SDF commander-in-chief Mazloum Abdi Sunday said he agreed to the deployment of Russian forces in Amuda, Tal Tamr and Ain Issa, to further protect them.

On Monday, the Observatory said Russian forces had deployed inside Amuda and around one kilometre to the west of town.

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