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最近本院遇到一例颌下腺巨大涎石,现报告如下: 病历摘要男患,39岁。主诉吞咽时左侧舌根部疼痛伴颌下肿物2周,1年前曾两次发生上述症状,分别按扁桃腺炎、颌下腺炎治疗。就诊时左侧颌下腺肿胀压痛明显。口腔检查:咽部充血,双侧扁桃腺轻度肿大,牙周结石较厚,舌体上翻见左侧颌下腺充血肿大,腺管口扩张。触诊发现腺管中有一球型物可活动,用血管钳探入腺管取出2.0cm×1.5cm×1.0cm灰白色涎石一块,呈桑椹状,表面粗糙坚硬,重2.7g。涎石取出后病人顿觉症状减轻。讨论涎石常发生在一侧颌下腺导管中,腮腺、
Recently, the hospital encountered a case of salivary gigantic salivary glands, are as follows: Summary of medical records Male patients, 39 years old. The main complaint when swallowing the left tongue root pain with submandibular mass 2 weeks, 1 year ago, the above symptoms occurred twice, respectively, according to tonsillitis, submandibular gland inflammation treatment. The left submandibular gland swelling and tenderness evident when visiting the doctor. Oral examination: pharyngeal congestion, mild bilateral enlargement of tonsils, thick periodontal stones, tongue see the left submandibular gland enlargement and enlargement of the gland orifice. Palpation found that there is a ball in the gland tube can be activated, with vascular forceps into the gland to remove the 2.0cm × 1.5cm × 1.0cm off-white salivary stone, was mulberry-like, rough surface, weighing 2.7g. After salivary stone removed the patient symptoms of symptoms reduced. Discussion salivary stone often occurs in the side of the submandibular gland duct, the parotid gland,