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Teissier(1877)最早报告泛发性钙化症(Ca-cinosis universaIis),是全身软组织中广泛发生的一种钙化物沉着性疾病。口腔颌面部最常见的钙化物是涎腺结石,其次是颊部血管瘤结石。1985年我们诊治1例右侧颊肌内发生的典型结石样钙化物,经光谱扫描分析和电镜扫描观察,其结果报告如下:患者康××、女性、20岁。主诉,右颊部肿胀,疼痛、有硬块。上年前右颊部肿胀、疼痛,当时扪之有蚕豆大硬结1个。口服氯霉素肿、痛消退,但硬块未消失。否认有外伤史。曾多次反复发作,均服氯霉素消肿,但硬结终不消失,近来硬结增大,要求手术,局部检查:双侧面部不对称,右颊部呈弥漫性肿胀。皮肤颜色正常。于右侧咬肌后缘皮下可触到3个大小不等的硬块,大者如杏核,小者如大豆,压痛。不移动。口腔粘膜及涎腺导管口均未见异常。印诊:
Teissier (1877) first reported calcification of the calcified (Ca-cinosis universaIis), is a widespread systemic soft tissue calcification of the disease. Oral and maxillofacial calcaneum is the most common salivary gland calculi, followed by cheek hemangiomas. In 1985, we diagnosed and treated a typical calcified calcification in the right buccal muscle. The results were reported by spectral scanning analysis and electron microscopy. The results were reported as follows: Patient Kang × ×, female, 20 years old. Chief complaint, right cheek swelling, pain, lumps. Last year, right cheek swelling, pain, when the palpable broad bean knot 1. Oral chloramphenicol, pain subsided, but lumps did not disappear. Denied the history of trauma. Repeated episodes have repeatedly, are taking chloramphenicol swelling, but the induration did not disappear, recently induration increased, requiring surgery, local examination: bilateral facial asymmetry, right cheek was diffuse swelling. Skin color is normal. Posterior margin of the right masseter muscle subcutaneous touch can reach 3 lumps of different sizes, the larger, such as almonds, small, such as soybeans, tenderness. Do not move. Oral mucosa and salivary gland ostium were no abnormalities. Imprint: