30例颌面部骨纤维异常增殖症诊治的临床分析  

Clinical Analysis of 30 Patients with Fibrous Dysplasia of Maxillofacial

作　　者：张壁[1] 韩其滨[1] 赵吉宏[1] 王世平[1] 

机构地区：[1]武汉大学口腔医学院口腔生物医学工程教育部重点实验室,湖北武汉430079

出　　处：《口腔医学研究》2010年第5期713-715,共3页Journal of Oral Science Research

摘　　要：目的:总结颌面部骨纤维异常增殖症(fibrous dysplasia,FD)的临床特征、诊断和治疗经验。方法:对30例FD临床表现、X线影像学诊断和治疗进行回顾分析,并通过随访观察手术效果。结果:本病多发于青少年,病程较长,发育成熟后大多病例可停止发展。本组30例患者中20岁之前发病者占83.3%。根据临床和X线平片检查,单侧下颌FD10例;单侧上颌骨、颧骨和上颌骨、额骨、颞骨、顶骨、腭骨、蝶骨FD共23例(含上颌下颌同时发病者3例)。X线分型毛玻璃型14例(46.6%),囊样型与硬化型各4例(13.3%),混合型8例(26.6%)。全部病例均行铲除或磨削术,伤口一期愈合。随访2～5年,效果满意21例,较满意5例,不满意4例,满意度为86.7%。结论:对未成年患者应定期临床X线和核素检测观察。主张保守性手术治疗,力荐微创磨削术。Objective：To summary the clinical manifestation,diagnosis,therapy of fibrous dysplasia（FD）on maxillofacial region.Methods：The clinical manifestation,radiological diagnosis and therapy were analyzed retrospectively.We observeb the operation effects.Results：This diseases was multiple in adolescents and had a long course.And they would stop after maturation.The incidence was 83.3% before 20year-old in 30 cases.Under inspection of clinical and X-ray diagnosis,10FD was in unilateral mandible,23FD was in unilateral maxillary,zygomaticomaxillary,temporal,frontale,temporal,parietale,palatum and sphenoid.Radiological classification：＂groundglass＂pattern 14cases（46.6% ）,cyst pattern 4cases（13.3% ）,hardened pattern 4cases（13.3% ）,hybrid pattern 8 cases（26.6% ）.All patients were follow-up.The satisfaction was 86.7% .Conclusion：The observe and radionuclide imaging in impuberism patients must be periodic carried out.Conservation surgical treatment was asserted.Microlesion surgery grinded ostectomy were recommended.

关 键 词：颌面部 骨纤维异常增殖症 影像学诊断 保守性手术 

分 类 号：R782.2[医药卫生—口腔医学]