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李×、男、24岁,土族,左颌下肿块十五年,反复肿痛,曾切开排脓一次,但肿块未消,一月前又因肿痛发作就诊。检查:左颌下肿块4×3cm~2大小,中等硬度,粘连,轻触痛,疑为左颌下淋巴结核。给予链霉素,雷米封治疗,用药半月后肿块缩小,于一九八三年七月二十三日局麻下摘除肿块。术中见颌下淋巴结与颌下腺粘连紧密,腺体前半部质地坚硬,去除表面薄层腺体后,露出结石,其前端位于二腹肌与下颌舌骨肌之间,距颈中线约2cm,后端位于颌下腺导管与腺体相交处。结石长3.4cm,宽2.3cm,重6.8克。
Lee ×, male, 24 years old, Tu nationality, left submandibular mass fifteen years, repeated swelling and pain, had to cut the abscess once, but the mass has not disappeared, a month ago due to swelling and pain attack treatment. Check: The left submandibular mass 4 × 3cm ~ 2 size, moderate hardness, adhesion, touch the pain, suspected left submandibular lymph node tuberculosis. Give streptomycin, Remy seal treatment, half a month after treatment, the tumor shrinks, in July 23, 1983 under local anesthesia removal of lumps. Surgery, see the submandibular lymph nodes and submandibular gland adhesions close, the first half of the gland hard, remove the surface of the thin glands, revealing stones, the front is located between the two abdominal muscles and hyoid muscle, about 2cm from the neck centerline, after End located in the submandibular gland duct and gland intersection. Stone 3.4cm long, wide 2.3cm, weighs 6.8 grams.