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例1:患者杜×,女,12岁。右颌下进行性肿胀半年。半年前曾在县医院行“舌下腺囊肿摘除术(双侧)”术后1月余,右颌下肿胀逐渐明显,于进食时胀痛加重。局部检查:右侧颌下触及软性包块约3×2.5×2cm,周界不清、无压痛,穿刺为淡黄色液体,右侧颁下腺导管口无红肿,挤压未见唾液分泌。舌下粘膜稍红,不肿。印象:“右颌下腺导管断离”。治疗:行右颌下腺管修复术:口内切口,顺利摘除右侧残余舌下腺组织,觅到前手术离断损伤之颌下腺导管近心端,将其壁斜行剪开,置入一长约2cm细塑料管,缝合固定于口底粘膜外。术后见其吻合管内有分泌,右侧颌下肿胀逐渐消退6天,创口拆线,10天拔除吻合管,患
Example 1: Patient Du ×, female, 12 years old. Submandibular progressive swelling for six months. Six months ago in the county hospital line “sublingual gastrectomy (bilateral)” more than 1 month after surgery, the right submandibular swelling gradually obvious, aggravating pain in eating. Local examination: the right submandibular touch and soft mass about 3 × 2.5 × 2cm, the perimeter is unclear, no tenderness, puncture for the light yellow liquid, issued on the right side of the gland duct mouth without swelling, extrusion no saliva secretion. Sublingual mucosa slightly red, no swelling. Impression: “Right submandibular duct disconnection.” Treatment: Submandibular gland repair: intra-oral incision, smooth removal of the right residual sublingual gland tissue, to find the preoperative subchondral gland off the injury proximal end of the body, the wall oblique cut open, into a length of about 2cm Thin plastic tube, suture fixed to the mouth mucosa. See the secretion of the anastomosis tube after surgery, the right submandibular swelling gradually subsided 6 days, wound stitches, 10 days to remove the anastomosis, suffering from