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病历摘要赵××,男,38岁,住院号:74277。因左下颌肿物一年半,外观出现畸形来院治疗。检查:左侧下颌骨体可扪及一约4.0×3.5cm肿物,触之较硬。肿物向唇颊及舌侧膨隆,以唇侧膨隆为著。6松动Ⅲ°,457松动Ⅰ°,开口不受限,无面神经损伤征象。X线检查:左下颌骨侧位象显示4-8间可见一个4×2cm边缘整齐的囊性改变区,567根尖区密度与颌骨体骨密度基本相似,但囊性改变区的骨纹理紊乱。7根尖向远中移位(封三图1)。临床诊断:1.造釉细胞瘤;2.牙瘤。于1983年7月26日在全麻下行左下颌骨切除植带血管髂骨吻合术。手术见肿物达3-8,与颌骨界线尚清,质地较韧。病理检查巨检:切除下颌骨附牙齿,56784枚,牙齿未
Medical record summary Zhao × ×, male, 38 years old, hospital number: 74277. Due to the left mandibular tumor year and a half, the appearance of deformity to hospital treatment. Check: left mandibular body can be palpable about 4.0 × 3.5cm tumor, touches harder. The tumor bulges to the cheeks and the lingual side, with the bulging lip side. 6 loose Ⅲ °, 457 loose Ⅰ °, the opening is not limited, no facial nerve injury signs. X-ray examination: the left mandibular lateral image shows a cystic change area of 4 × 2cm with a regular margin around 4-8 cm. The density of 567 apical areas is basically similar to that of the mandibular body, but the bone texture of cystic area disorder. 7 tips to the far shift (seal three Figure 1). Clinical diagnosis: 1. ameloblastoma; 2. Tooth tumors. On July 26, 1983 under general anesthesia underwent left mandibular graft vascular iliac anastomosis. Surgery see the tumor up to 3-8, and the jaw line is clear, the texture is tough. Macroscopic examination: Removal of mandibular attached teeth, 56784, the teeth are not