开窗术治疗颌骨囊肿13例临床及病理学分析  

A clinical and pathologic analysis of marsupialization in the treatment of 13 mandilbular cysts

作　　者：李晓宇[1] 刘磊[1] 肖金刚[1] 董海[1] 

机构地区：[1]四川大学华西口腔医院口腔颌面外科,成都610041

出　　处：《陕西医学杂志》2007年第10期1292-1294,共3页Shaanxi Medical Journal

基　　金：国家自然科学基金资助项目(30100210)

摘　　要：目的:评价开窗术治疗颌骨囊肿的效果。方法:对13例颌骨囊肿患者采用开窗术治疗,开窗口2.0×1.0 cm^2.0×1.5cm,术后定期复查评价治疗效果。结果:所有病例在开窗术后,临床与X线检查均显示病变范围明显减小;4例不需行二期手术治疗,9例行二期刮治术后完全恢复;所有患者未见复发。行二期刮治术的9例患者中,7例刮治后病检未见典型囊壁组织,仅为纤维样组织;同术前病理学检查比较,囊肿生物学性质发生改变,囊壁组织发生炎性变化,可见多处灶性玻璃样变及慢性炎细胞浸润,局部新生骨形成。结论:开窗术可促使颌骨囊肿逐步减小,囊壁发生病理学改变(发生炎性变化,局部新生骨形成),为开窗术的临床应用提供良好的基础;其具体转化机制及调控机制有待进一步的研究阐明。开窗术是治疗颌骨囊肿的有效方法。Objective ： To evaluate the clinical effeets of marsupialization in the treatment of mandilbular cysts. Methods ： Thirteen patients were treated with marsupialization by the opening of a 1. 5 to 2-cm window into the cystic cavity. The clinical effects were evaluated after regular examination. Results： Significant decrease of cyst size was observed by clinical symptoms and radiograp,,ic findings after the therapy. Four of thirteen cases did not need the following surgery. The others recovered well after the following curettage. None of them recurred. The typical cyst tissue was not found out in seven patients who received the curettage, except for the fibroid tissue. The pathologic character changed compared to the previous result. The inflammatory changes were found in the capsule walls including the focal hyalinization and the chronic inflammatory celt infiltration. The focal new bone formed was also found, Conclusion ： The marsupialization can decrease the size of the cyst and induce the pathologic changes. It is an effetive method for mandilbular cysts.

关 键 词：颌囊肿/外科学 @开窗术 病理学分析 

分 类 号：R739.82[医药卫生—肿瘤]