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颌骨囊性病变600例临床分析 预览

Clinical analysis of 600 cases of jaw bone cystoid disease
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摘要 目的分析颌骨囊性病变的发病原因、治疗方式、复发及预后。方法回顾2013年2月至2017年6月医院治疗的600例颌骨囊性病变患者,对患者病变构成比例、年龄分布情况、病变部位、病程、术前主要症状、临床治疗方式进行分析,随访复发情况,评价临床治疗效果。结果600例颌骨囊性患者中,男339例,女261例;年龄1-81岁,多发年龄为20-29岁,其次为30-39岁;根端囊肿、牙源性角化囊性瘤、成釉细胞瘤的多发年龄均为20-29岁。好发部位:左侧311例,右侧365例;上颌217例,下颌392例;颌骨囊性病变好发部位为下颌骨后牙区。临床表现:132例(22.0%)为口腔门诊就诊时拍摄X片意外发现病灶,因肿胀就诊276例(46.0%),瘘道形成78例(13.0%),其他因张口受限、口唇麻木等就诊114例(19.0%)。治疗方式及复发率:311例根端囊肿中,295例首诊采用刮治术,其中12例术后复发,复发率为4.1%;14例采用开窗减压术,其中13例首诊开窗术后经过6-15个月持续冲洗后,经过二期根治术后均治愈,另一例经开窗后冲洗15个月效果不佳,病变范围无明显变化,后采取刮治术治疗。44例含牙囊肿中,均采用“埋伏牙拔除术+刮治术”,术后无一例复发。105例牙源性角化囊性瘤病例中,83例首诊采用刮治术,其中16例术后复发,复发率为19.3%;21例首诊采用开窗减压术,未见复发;1例采用截骨术+肋骨移植修复术,术后12个月后复发。108例囊性成釉细胞瘤中,87例首诊采用刮除术,其中46例术后复发,复发率为52.9%;16例囊性成釉细胞瘤首诊采用开窗减压术,11例开窗效果良好,第二次术后均无再复发,5例开窗效果差,均择期行成釉细胞瘤刮除术;5例首诊采用截骨术,其中联合腓骨移植修复术3例,术后随访至今无复发,联合髂骨移植修复术2例,均术� Objective To analyze the causes, treatment, recurrence and prognosis of jaw bone cystoid disease. Methods From February 2013 to June 2017, 600 cases of jaw bone cystoid disease were treated in the hospital. The proportion of the lesions, the distribution of age, the location of the disease, the course of the disease, the main symptoms before the operation, the clinical treatment methods were analyzed, and the recurrence of the patients was followed up and the effect of the clinical treatment was evaluated. Results Among the 600 patients with jaw bone eystoid disease, gender composition: 339 males and 261 females. Age distribution: the distribution was 1 -81 years, the multiple age was 20 - 29 years, and the second was 30 - 39 years. The multiple age of the root cysts, odontogenic keratoma and ameloblastoma was 20 -29 years old. Predilection site: 311 cases on the left side, 365 cases on the right side, 217 cases in the upper jaw, and 392 cases in the mandible; the most common site of jaw cystic lesions was mandibular posterior teeth. Clinical manifestations: 132 patients (22. 0% ) were photographed with X in an oral clinic, 276 cases (46.0%) were diagnosed as swelling, 78 cases ( 13.0% ) with fistula formation, other 114 cases ( 19. 0% ) were due to limited mouth opening and numbness of lips. Treatment methods and recurrence rate: among the 311 cases of root cyst, 295 cases were curettage first, of which 12 cases had recurrence, the recurrence rate was g. 1%. Treatment methods and recurrence rate: of 311 cases of root cyst, 295 cases were curettage first, of which 12 cases had recurrence, the recurrence rate was g. 1%; 14 patients were treated with fenestration and decompression; 15 cases of them were cured after 6 - 15 months of continuous flushing after the first fenestration, another case was treated with irrigation for 15 months after opening the window, but the lesion area did not change significantly, and then took the treatment of curettage. Forty-four cases of dental cyst were
作者 冯燕平 傅红 李静 孙明磊 Feng Yanping1, Fu Hong1, Li Jing3, Sun Minglei1(1. Department of Stomatology Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China ; 2.Department of Day Treatment Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China 3.; Department of Operation, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China )
出处 《中国实用医刊》 2018年第18期7-10,共4页 Chinese Journal of Practical Medicine
基金 郑州市口腔颌面外科院士工作站项目(152PYSGZ040)
关键词 颌骨 囊性病变 临床分析 Jaw bone Cystoid disease Clinical analysis
作者简介 通信作者:孙明磊,Email:mlsun@zzu.edu.cn
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  • 1Mosqueda Taylor A,Irigoyen Camacho ME,Diaz Franco MA,et al.Odontogenic cysts.Analysis of 856 cases[J].Med Oral,2002,7:89-96. 被引量:1
  • 2Shear M.Cysts of the Oral Regions[M].3rd Edn,Oxford:Wright,1992. 被引量:1
  • 3Crowley TE,Kaugars GE,Gunsolley JC.Odontogenic keratocyst:A clinical and histologic comparison of the parakeratin and orthokerotin variants[J].J Oral Maxillofac Surg,1992,50:22-26. 被引量:1
  • 4Stoelinga PJW.Long-term follow-up on keratocysts treated according to a defined protocol[J].Int J Oral Maxillofac Surg,2001,30:14-25. 被引量:1

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