论文部分内容阅读
患者,女,63岁。主诉咽部右侧疼痛,向右耳、右颈部放射痛3年,进食时加重,有异物梗阻感。有长期吸烟史,量大。X线片示右茎突长4.2cm,左4cm。外院以茎突综合征(SPS)治疗无效而入我院。检查:颈淋巴结不肿大。茎突正侧位X线摄片结果同上。右扁桃体窝可触及一明显条索状硬物,无压痛。间接喉镜检查未见异常。以茎突综合征在局麻下经口径路行右扁桃体切除术加茎突切除术,切除1.5cm。术后咽痛及梗阻感未减轻,并出现声嘶、咳嗽、痰中带血,4个月后复查,颈淋巴结不大。间接喉镜见右杓状软骨轻微肿胀,表面粗糙,有新生物。取活组织病
Patient, female, 63 years old. The main complaint throat right pain, right ear, right neck pain radiotherapy 3 years, eating aggravated, foreign body obstruction. Long-term smoking history, large amount. X-ray showed right temporal protrusion 4.2cm, left 4cm. Outside the hospital with styloid process (SPS) treatment ineffective into our hospital. Check: Cervical lymph nodes are not enlarged. Styloid positive lateral radiograph results above. Right tonsil fossa can reach a clear cord-like hard objects, no tenderness. Indirect laryngoscopy showed no abnormalities. Stem syndrome in the local anesthesia by calculus right tonsillectomy and styloid excision, resection of 1.5cm. Postoperative sore throat and obstruction did not reduce the flu, and hoarseness, cough, bloody sputum, 4 months after the review, cervical lymph node is not. Indirect laryngoscopy see the right arytenoid cartilage slightly swollen, rough surface, a new creature. Take living tissue disease