智齿拔除术微小异物残留致慢性疼痛误诊为躯体形式障碍1例报告  

A case of chronic pain caused by residual small foreign body during wisdom tooth extraction was misdiagnosed as somatoform disorder

作　　者：李世勇 吴勇[1,2] 张馨 王思航 付帅 LI Shi-yong;WU Yong;ZHANG Xin;WANG Si-hang;FU Shuai(Department of Oral and Maxillofacial Surgery,Kunming Medical University School and Hospital of Stomatology,Kunming 650106;Yunnan Key Laboratory of Stomatology,Kunming 650106;Department of Stomatology,School Hospital of Yunnan Normal University,Kunming 650500,Yunnan Province,China)

机构地区：[1]昆明医科大学附属口腔医院口腔颌面外科,云南昆明650106 [2]云南省口腔医学重点实验室,云南昆明650106 [3]云南师范大学校医院口腔科,云南昆明650500

出　　处：《中国口腔颌面外科杂志》2025年第2期206-208,共3页China Journal of Oral and Maxillofacial Surgery

基　　金：云南省科技厅-昆医联合专项(202201AY070001-176)。

摘　　要：口腔颌面部异物在临床上并非罕见,本文报告患者拔除智齿时微小的金属异物残留于软组织中导致长期的慢性疼痛,后辗转多个医院被误诊为躯体形式障碍1例,取出异物后,患者症状消失。本文结合相关文献对拔牙术后异物残留、误诊原因及防治进行讨论,以期加强对该病认识,减少误诊。Foreign bodies in oral and maxillofacial region are not rare in clinical practice.This paper reported a patient with long-term chronic pain caused by small metal foreign body remaining in the soft tissue during wisdom tooth extraction,and was later misdiagnosed as somatoform disorder.After the foreign body was removed,the patient's symptoms disappeared.The residual foreign bodies,causes of misdiagnosis,prevention and treatment were discussed based on relevant literature review,in order to strengthen the understanding of the disease and reduce misdiagnosis.

关 键 词：智齿 拔牙术 异物 躯体形式障碍 慢性疼痛 

分 类 号：R782.1[医药卫生—口腔医学]