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患者张某某,女,65岁,工人。左侧咽喉部疼痛4年多于1983年1月入院。4年多来咽喉部反复阵发性痛,伴有左侧肩痛、颈部肌肉牵拉痛、左侧面部肌肉抽搐痛、左手上举困难、无力、轻度麻木。经多方就诊,诊断为神经根炎、咽炎,给予口服六神丸、牛黄解毒丸、川心莲等中药长期口服,并局部封闭治疗无效。检查:颈部两侧对称,无压痛,活动无受限,头偏向左侧症状可加重。舌居中,活动自如,咽部轻度充血,会厌、声带正常。双侧茎突X片:左茎突长3.2cm,其下端与第2颈椎上缘在同一水平,右侧茎突长2.7cm。诊断为茎突过长综合征。于1月17日行左茎突部分切除术,手术从颈外进路,术中见茎突下端尖利,尖端抵
Zhang Moumou patients, female, 65 years old, workers. Left throat pain more than 4 years in January 1983 admitted. More than 4 years of throat repeated paroxysmal pain, accompanied by left shoulder pain, neck muscle pain, left facial muscle pain, left hand on the move difficult, weak, mild numbness. After multi-treatment, diagnosis of radiculitis, pharyngitis, given oral Liushen pills, Niuhuangjiedu pills, Chuanxian Lin and other traditional Chinese medicine long-term oral, and partial closure of treatment ineffective. Check: neck symmetrical on both sides, no tenderness, activity is not limited, head to the left side of the symptoms can be aggravated. Central tongue, freely, mild throat hyperemia, epiglottis, vocal cord normal. Both sides of the styloid X: left lengthening 3.2cm, the lower edge of the second cervical vertebra at the same level, the right styloid process 2.7cm. Diagnosis of sudden overgrowth syndrome. In January 17th line of the left styloid resection, surgical approach from the outside of the neck, see the sharp end of the surgery sharp sharp, the tip arrived