负压吸引术治疗颌骨含牙囊肿的临床分析  

Clinical analysis of suction drainage in the treatment of jaw dentigerous cyst

作　　者：顾倩平[1] 孟箭[1] 张杰[1] 孟庆飞[1] 李志萍[1] 周建军[1] 

机构地区：[1]东南大学医学院附属徐州医院口腔科,徐州221009

出　　处：《国际口腔医学杂志》2011年第2期128-130,共3页International Journal of Stomatology

基　　金：徐州市社会发展科技基金资助项目(XM08C045)

摘　　要：目的评估开窗负压吸引术应用于颌骨含牙囊肿治疗的临床效果。方法 2003—2009年收治含牙囊肿患者15例,年龄11～38岁;男11例,女4例。其中,9例为上颌骨含牙囊肿,6例为下颌骨含牙囊肿。采用开窗负压吸引术对其进行治疗,术后观察3、6个月颌骨囊肿的变化情况,对仍存留的囊肿行Ⅱ期囊肿刮治术。结果Ⅰ期负压吸引术后3～6个月患者颜面畸形基本消除;Ⅱ期刮治术后6～12个月,下颌骨缺损区完全修复。其中,2例青少年的恒牙完全萌出,咬合关系正常;1例恒牙萌出1/2,咬合关系接近正常;1例恒牙即将萌出。结论开窗负压吸引术可以显著缩小甚至消除颌骨大型含牙囊肿,改善患者颌骨膨隆畸形,最大程度保留解剖结构及其相应的生理功能,是治疗颌骨大型含牙囊肿切实可行的方法。Objective This study was to evaluate the clinical effects of suction drainage on the treatment of jaw dentigerous cyst.Methods All 15 patients with dentigerous cysts were collected and treated from 2003 to 2009. Among whom,11 were male and 4 were female,with ages from 11 to 38 years old.9 cases were maxillary dentigerous cysts and the others were mandibular dentigerous cysts.All the patients were treated by suction drainage.Clinical symptoms and radiography findings were evaluated 3 and 6 months after suction drainage.Results Facial deformities were disappeared after duration of suction drainage for 3 to 6 months and jaw defect lesions were restored completely 6 to 12 months after the curettage operations.Among all 15 patients,total eruption of the permanent teeth were found in 2 cases,50% eruption in 1 case and imminent eruption in another case.Conclusion The method of suction drainage was effective in the treatment of jaw dentigerous cyst.It could decrease the cystic size and correct the deformity caused by jaw dentigerous cyst more quickly.

关 键 词：颌骨 含牙囊肿 负压吸引 

分 类 号：R782.23[医药卫生—口腔医学]