中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (2): 173-176.doi: 10.19438/j.cjoms.2021.02.014

• 临床总结 • 上一篇    下一篇

39例颌骨骨结构不良临床分析

林文清, 张旭辉, 郭珍珍, 胡砚平   

  1. 厦门医学院附属口腔医院 口腔颌面外科,厦门市口腔疾病诊疗重点实验室,福建 厦门 361008
  • 收稿日期:2020-04-15 修回日期:2020-06-18 出版日期:2021-03-20 发布日期:2021-05-11
  • 通讯作者: 胡砚平,E-mail:huyanpingphd@163.com
  • 作者简介:林文清(1987-),男,硕士,主治医师,E-mail:598762795@qq.com

Osseous dysplasias of the jaws: review of 39 consecutive cases

LIN Wen-qing, ZHANG Xu-hui, GUO Zhen-zhen, HU Yan-ping   

  1. Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Xiamen Medical College, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment. Xiamen 361008, Fujian Province, China
  • Received:2020-04-15 Revised:2020-06-18 Online:2021-03-20 Published:2021-05-11

摘要: 目的 探讨颌骨骨结构不良的临床特征、影像特点、治疗方式等。方法 对2015年1月—2019年9月收治的39例颌骨骨结构不良患者的临床资料进行回顾性分析,包括年龄、性别、好发部位、临床表现形式、影像特点以及治疗方式等。结果 患者年龄15~73岁,中位年龄38岁,男、女比1∶2.9,好发年龄段为30~40岁(19/39,48.7%),下颌第一、第二磨牙根尖区为好发部位(17/39,43.5%)。根尖周骨结构不良5例,局灶性31例,繁茂性3例。影像特点主要表现为根尖区团块状阻射影,周围有透射影包绕的混合影(31/39,79.4%)。治疗方式均采取病变刮除术,部分患者行受累牙根管治疗(17例)或拔除(7例)。术后随访6个月~2年,无颌骨感染等并发症。结论 骨结构不良多见于中青年女性,下颌磨牙区局灶性病变常见,有临床症状或骨膨胀的病变适合手术刮除。

关键词: 骨结构不良, 刮除术, 颌骨, 回顾性研究

Abstract: PURPOSE: A retrospective research was made to evaluate the clinical characteristics, imaging features , treatment results of patients with osseous dysplasia(OD) of the jaws. METHODS: Thirty-nine patients were enrolled. The age, gender, locations of involvement, clinical and imaging features, treatment methods and results were retrospectively analyzed. RESULTS: The age of patients ranged from 15 to 73 years old, with a mean age of 38 years. The male to female ratio was 1∶2.9. The most involved age group was 30-40 years old (19 cases, 48.7%) . Apical regions of the mandibular first and second molars (17 cases, 43.5% ) were the most involved locations. According to the classification of WHO, the most common type was focal OD (31 cases), periapical and florid OD were 5 and 3 cases, respectively. The main type of image characteristics was focal mixed radiopaque-radiolucent lesions (31 cases, 79.4%). The treatment methods were curettage of the lesions, in which root canal therapy was performed in 17 cases, and tooth extraction was performed in 7 cases. The follow-up period was 6 months to 2 years without postoperative complications. CONCLUSIONS: Osseous dysplasia of the jaws often involved the mandibular molar regions in female patients in their mid-thirties. The most common type of imaging characteristics was focal OD. Surgical curettage is indicated when the lesions are associated with clinical symptoms or significant bone expansion.

Key words: Osseous dysplasia, Curettage, Jaws, Retrospective study

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