减压术治疗青少年下颌骨大型角化囊性瘤的疗效分析  

Clinical study of large mandibular odontogenic keratocystic tumours in adolescents treated by decompression

作　　者：曹锐[1,2] 胡永杰[3] 

机构地区：[1]扬州大学第五临床医学院 [2]常熟市第二人民医院口腔科,江苏常熟215500 [3]上海交通大学医学院附属第九人民医院.口腔医学院口腔颌面-头颈肿瘤科,上海200011

出　　处：《上海口腔医学》2012年第6期695-699,共5页Shanghai Journal of Stomatology

摘　　要：目的：探讨和评估减压术在青少年下颌骨大型牙源性角化囊性瘤治疗中的应用效果。方法：选择2005年2月--2011年2月15例下颌骨大型牙源性角化囊性瘤患者，平均年龄19-3岁，采用开窗减压术治疗，2～3个月定期随访，复拍全景片。6～12个月随访，复拍CT，囊肿直径缩小至2cm左右时行二期囊肿刮除术。结果：减压期12～18个月，平均13．6个月。影像学显示囊肿周围新骨再生，平均囊肿缩小比例6个月时为41．5％，12个月时为61．5％，18个月时为81．8％。二期刮除术后随访1—5a，无复发病例。结论：减压术是治疗青少年下颌骨大型牙源性角化囊性瘤的首选方法。PUPPOSE： To evaluate the effect of decompression for large mandibular odontogenic keratocystic tumours in adolescents. METHODS： Fifteen cases of large odontogenic keratocystic tumours in mandible underwent decompression from Feb.2005 to Feb.2011, the average age of the patients was 19.3 years. Patients were follow-up by X-ray every 2-3 months, and every 6-12 months by CT. Subsequent curettage was given when the remaining tumours were less than 2cm in diameter. RESULTS： The decompression period lasted from 12 to 18 months, with an average time of 13.6 months. After decompression, bone regeneration was noticed on radiographs, the average decrement percentage of the tumour size was 41.5% at 6-month, 61.5% at 12-month and 81.8% at 18-month after operation. All patients were followed up for 1-5 years after secondary surgical curettage, no recurrence was observed. CONCLUSION： Decompression is a preferred treatment for large mandibular odontogenic keratocystic tumours in adolescents.

关 键 词：减压术 下颌骨 牙源性角化囊性瘤 青少年 

分 类 号：R739.82[医药卫生—肿瘤]