200例颌骨囊性病变临床回顾分析

doi:10.19438/j.cjoms.2019.03.016

摘要/Abstract

摘要： 目的: 探讨颌骨囊性病变的临床特点,比较不同治疗方法的疗效和预后,为提高其诊治水平提供依据。方法: 收集2009年1月—2015年9月在内蒙古医科大学附属医院口腔颌面外科首诊、有完整临床资料、经过治疗的颌骨囊性病变的住院患者200例。收集相关数据后,采用SPSS 16.0软件包对数据进行χ²检验、Fisher精确检验或t检验,比较不同治疗方法的效果。结果: 根尖囊肿所占比例最大,男性多于女性,41~50岁为高发年龄段;发生于上颌骨的病变多于下颌骨,左侧多于右侧;因牙疼痛、颌骨肿胀性疼痛就诊的患者最多。中型颌骨囊性病变应用刮治术效果优于开窗减压术,大型颌骨囊性病变应用开窗减压术效果优于刮治术,差异具有统计学意义(P<0.05)。牙源性角化囊肿和成釉细胞瘤应用刮治术比开窗减压术的复发率高,但差异无统计学意义（P>0.05）。结论: 中小型颌骨囊性病变选择刮治术效果较好,可缩短治愈时间;大型颌骨囊性病变采用开窗减压术效果较好,利于保存邻近组织结构。多囊型颌骨囊性病变可选择开窗减压术与刮治术联合应用,远期疗效较好。

关键词: 颌骨囊性病变, 临床特点, 复发, 回顾性分析

Abstract: PURPOSE: To retrospectively analyze the composition and treatment of cystic lesions of jaw bone, to explore the clinical characteristics of cystic lesions of jaw bone, and compare the efficacy and prognosis of different treatment methods, so as to provide basis for improving diagnosis and treatment. METHODS: From January 2009 to September 2015, a total of 200 patients with cystic lesions of jaw bone treated in the Department of Oral and Maxillofacial Surgery in the Affiliated Hospital of Inner Mongolia Medical University were collected. SPSS 16.0 software package was used to compare the effects of different treatment methods. RESULTS: The proportion of apical cysts accounted for the most, the number of male patients was more than that of female patients, and the peak incidence was from 41 to 50 years; the lesions were formed more frequently in the maxilla than in the mandible, more in the left than in the right; patients with toothache and swelling pain in jaw bone accounted the most. Curettage was superior to decompression in the treatment of medium-sized cystic lesions, and decompression was superior to curettage in the treatment of large cystic lesions, the difference between different treatment modalities was statistically significant (P<0.05). The recurrence rate of odontogenic keratocyst and ameloblastoma treated by curettage was higher than that treated by decompression, but the difference was not significant (P>0.05). CONCLUSIONS: Curettage for small and medium-sized cystic lesions of jaw bone is effective and can shorten the healing time, while decompression for large cystic lesions is effective and beneficial to preserve adjacent tissue structure. Decompression and curettage can be used for the treatment of multicystic lesions of jaw bone.

Key words: Jaw bone cystic lesions, Recurrence, Retrospective analysis

中图分类号:

R782.3

范永晶, 金武龙, 刘莹. 200例颌骨囊性病变临床回顾分析[J]. 中国口腔颌面外科杂志, 2019, 17(3): 269-274.

FAN Yong-jing, JIN Wu-long, LIU Ying. Clinical retrospective analysis of 200 cases with cystic lesions of the jaw bone[J]. China J Oral Maxillofac Surg, 2019, 17(3): 269-274.

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