恶性肿瘤致张口受限误诊分析  

ANALYSIS ON MISDIAGNOSIS FOR LIMITED OPENING MOUTH CAUSED BY MALIGNANT TUMORS.

作　　者：张正云[1] 薛荣奇[1] 

机构地区：[1]西安医科大学陕西临床医学院,西安710068

出　　处：《现代预防医学》1999年第4期503-504,共2页Modern Preventive Medicine

摘　　要：目的:通过张口受限6 例误诊临床回顾性分析, 扩大张口受限的诊断思路。方法: 采集6例1987年4 月至1998年4月已被病理证实的临床资料进行回顾性分析。结果: 6例中确诊为腮腺腺癌2例, 被误诊为破伤风和腮腺混合瘤。颊部鳞状细胞癌1例, 被误诊为颌上淋巴结炎。颞下窝横纹肌胚胎肉瘤1 例, 被误诊为颌间疤痕挛缩。腮腺嚼肌区间隙感染1 例,被误诊为咬肌部横纹肌肉瘤。上颌窦鳞状细胞癌1 例, 被误诊为颞下颌关节紊乱综合证。结论: 利用多谱勒定位, 细针(0.6m m ) 抽吸活检, 提高诊断准确率, 是值得推广的一种早期诊断方法。Objective:To improve diagnosis level of limited opening mouth caused by diseases.Methods:To collect data that 6 patients with limited opening mouth,and make biopsies for 5 cases in it.Results:in 6 misdiagnosis patients with limited opening mouth,there were 5 cases,whose limited opening mouth were caused by malignant tumors.Two cases with cancer of parotid gland were diagnosed the sickness as tetanus and mixed tumor in the parotid gland.A case with squamous cell cancer in the cheek was diagnosed the illness as facial lymhadenitis.A case with rhabdomyosarcoma in the infratemporal fossa was diagnosed the sickness as intermaxillary contracture in the cheek.A case with infection of the masseteric space was diagnosed the illness as rhabdomyosarcoma in the masseter muscle.A cases with cancer of squamous cell in the maxillary sinus was diagnosed the sickness as joint disturbances syndrom of temporomandibular.Conclusion:It is excellent method,to determine disease location with doppler colour and to draw disease tissue with thin needle(0 6mm),for early diagnosis of limited opening mouth.

关 键 词：张口受限 细针 抽吸 病理检查 恶性肿瘤 诊断 

分 类 号：R730.4[医药卫生—肿瘤]