磨削法在防止颌骨病变术后复发中的应用  

Surface Grinding Combined with Curettage and Osteotomy in the Treatment of Lesions of the Jaws

作　　者：张冰[1] 李吉辰[1] 毛立民[1] 

机构地区：[1]哈尔滨医科大学附属口腔医院口腔颌面外科,黑龙江哈尔滨150001

出　　处：《口腔颌面外科杂志》2012年第5期364-365,共2页Journal of Oral and Maxillofacial Surgery

摘　　要：目的:为提高颌骨手术的成功率,减少术后复发,采用磨削法处理颌骨病变手术创面,进行术后观察及疗效评估。方法:对142例颌骨各种病变进行手术,手术后骨创面采用磨削法进行处理。结果:颌骨囊肿和良、恶性肿瘤无复发;颌骨骨髓炎术后有2例复发,复发率为14.29%。结论:磨削法处理颌骨病变手术创面,可以提高治疗效果。Objective： To evaluate the efficacy of grinding residue surface combined with curettage or osteotomy to prevent recurrence of jaw bone lesions. Methods： 142 patients of 97 cysts, 28 benign tumors, 3 malignant tumors, and 14 osteomyelitis of the jaws were retrospectively reviewed. After operative treatment of the lesions, dental burs were used to trim and grind the bone wounds surface for 0.2-0.5 cm depth. The grinding speed was 40 000 r/s. Follow-up period lasted for one year. Results： There were no recurrence of cyst and tumor of the jaws. However, there were 2 cases recurrence of osteomyelitis. Conclusion： Grinding residue surface combined with curettage or osteotomy may improve the therapeutic results.

关 键 词：磨削术 颌骨 治疗学 结果 

分 类 号：R782.23[医药卫生—口腔医学]