颌骨巨大囊性病变开窗减压术8例临床观察  

Clinical observation on decompression in treating mandibular large cystic lesions

作　　者：邓书海[1] 钟凡[1] 赵继刚[1] 关崧华[1] 郭毅[1] 

机构地区：[1]南方医科大学附属南海医院口腔科,广东佛山528200

出　　处：《中国实用口腔科杂志》2011年第2期98-100,共3页Chinese Journal of Practical Stomatology

基　　金：2010年广东省佛山市科技局科技攻关立项课题(201008143)

摘　　要：目的探讨开窗减压术治疗颌骨巨大囊性病变的临床应用价值。方法对2009年5月至2010年11月南方医科大学附属南海医院口腔科收治的8例颌骨囊性病变患者(包括1例根尖囊肿,1例含牙囊肿、5例角化囊肿、1例囊性成釉细胞瘤),经口内进行开窗减压,术后定期复诊,3个月复查曲面断层摄影,1年进行三维CT重建,测量术后囊腔缩小情况。结果 8例患者,最长的已观察18个月,最短的观察3个月,2例患者(包括1例根尖囊肿、1例成釉细胞瘤)囊腔完全消失,6例患者囊腔越来越缩小。结论开窗减压术是一种简便、经济、效果良好的治疗颌骨囊性病变的方法。Objective To investgate the application values of decompression in treating mandibular large cystic lesions. Method From May 2009 to Nov. 2010, 8 cases of mandibular cystic lesions were treated by Nanhai Hospital of Southern Medical University , including 1 case of radicular cyst, 1 case of dentigerous cyst, keratocyst 5 cases and 1 case of cystic ameloblastoma. Decompression by mouth was performed followed by regular re-visits.Panoramic photography was taken 3 months later and 3D CT reconstruction was made after one year.The narrowing situation was observed after operation. Result In 8 cases, the longest follow-up has been for 18 months, the shortest for 3 months; cysts disappeared completely in 1 case radicular cyst and 1 case cystic ameloblastoma, 6 cases with cysts becoming more and more narrow. Conclusion Decompression technique is a simple, cheap and effective treatment method for mandibular large cystic lesions.

关 键 词：颌骨囊性病变 开窗减压术 

分 类 号：R78[医药卫生—口腔医学]