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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
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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.
作者 李世勇 吴勇 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)
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)。
关键词 智齿 拔牙术 异物 躯体形式障碍 慢性疼痛 Wisdom tooth Exodontia Foreign body Somatoform disorder Long-term chronic pain
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