复发性成釉细胞瘤的临床、影像学回顾性分析研究  

Clinical and Radiological Retrospective Study of Recurrent Ameloblastoma

作　　者：林梓桐[1] 王铁梅[1] 韩方凯[1] 陈菲[2] 彭靖园[1] 蒲玉梅[3] 张涛[1] 

机构地区：[1]南京大学口腔医学院医学影像科,江苏南京210008 [2]南京大学口腔医学院病理科 [3]南京大学口腔医学院颌面外科

出　　处：《口腔医学研究》2010年第5期729-731,共3页Journal of Oral Science Research

摘　　要：目的:探讨复发性成釉细胞瘤(Recurrent ameloblastoma,RAB)的临床及影像学表现,为其诊断及治疗提供依据。方法:回顾我院1991～2008年收治的具有完整病例资料的35例RAB病例,进行Gardner分型和初次手术治疗方式的统计学分析;对23例颌骨内RAB的Gardner分型和X线分型进行分析统计;对21例行颌面部CT检查病例的影像学表现进行分析总结。结果:Gardner分型中实质型RAB最多共24例(68.6%),软组织内RAB有12例(34.3%);颌骨内RAB最多的X线分型多房伴蜂窝型共8例(22.9%),CT影像可以清晰的显示成釉细胞瘤的边界、密度、形状、范围及对周围组织的累及情况。结论:成釉细胞瘤的生物学行为及术式是术后复发的主要原因;RAB易出现软组织复发及表现为多囊伴蜂窝型的X线分型;CT对RAB尤其是软组织复发成釉细胞瘤有很好的诊断价值。Objective：To study the clinical and radiological presentation of recurrent ameloblastoma（RAB）.Methods：35 RAB cases with detailed medical history were retrospected.The Gardner＇s classification and the primary mode of surgery of all 35 cases were analyzed.The radiological classification of 23 cases which reoccurred in jaw,and the CT presentation of 21 cases were summarized and analyzed.Results：Solid ameloblastoma was the most in 35 cases.12 cases reoccurred in the soft tissues,and 8 cases were multilocular accompanied honeycombing radiological type.The CT showed the border,density,shape and involvement of surrounding tissues of RAB clearly.Conclusion：The biological behaviour and the modes of surgery were the main reasons of recurrence of ameloblastoma.There were considerable RAB reoccurred in the soft tissue and presented multilocular accompanied honeycombing radiological type.CT was valuable in the diagnosis of RAB,especially for the RAB reoccurred in the soft tissues.

关 键 词：成釉细胞瘤 复发 Gardner分型 X线分型 螺旋CT 

分 类 号：R739.8[医药卫生—肿瘤]