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患者李某、男、23岁,干部。双侧下颌角区反复交替肿胀,疼痛2年余,并伴开口受限,经抗菌素治疗后明显好转。曾在外院诊断为“双侧(?)理状阻生”。后又多次反复交替发作。查体:全身常规体检未见异常。双侧下颌角区肿胀,以左侧较严重,肿胀区界限清楚,质硬,有明显触压痛,开口轻度受限。口内,磨牙后区肿胀,(?)远中溢脓。颌骨曲面断层X光片示,双侧下颌升支下方可见椭圆形边缘整齐之透射区两侧病变中均含有牙齿,左侧约5×4 cm~2大小,右侧约4×3 cm~2大小,治疗:大剂量抗菌素控制感染后手术摘除。病理报告:双侧下颌升支含牙囊肿。
Patient Lee, male, 23 years old, cadre. Both sides of the mandibular angle area repeatedly alternating swelling, pain more than 2 years, and with limited openings, significantly improved after treatment with antibiotics. Have been diagnosed in the hospital as “bilateral (?) Logical implants.” After repeatedly alternating seizures. Physical examination: no abnormalities in the body routine examination. Bilateral mandibular angle area swelling, more severe on the left, clear boundaries of the swelling area, hard, obvious tenderness and pain, the mouth was limited. Mouth, molars area swelling, (?) Far overflow pus. Jaws showed tomographic X-ray films. Bilateral mandibular ascending below the oval-shaped edge of the transmission area can be seen on both sides of lesions contain teeth, the left about 5 × 4 cm ~ 2 size, the right about 4 × 3 cm ~ 2 size, treatment: high-dose antibiotic control surgery after removal of infection. Pathology report: bilateral mandibular ascending ramus containing cyst.