下颌骨大型囊性病变开窗减压治疗的临床观察  

Clinical Observation of Large Mandibular Cystic Lesions Treated by Fenestration Decompression

作　　者：曹裕中[1,2] 廖涛[1,2] 谢思根 邱成端[1,2] 

机构地区：[1]三明市第二医院 [2]福建中医药大学第五临床医院口腔颌面外科,福建永安366000

出　　处：《口腔颌面外科杂志》2014年第6期439-442,共4页Journal of Oral and Maxillofacial Surgery

基　　金：三明市科技计划项目(2010-s-1)

摘　　要：目的：通过开窗减压术治疗下颌骨大型囊性病变，探讨其在下颌骨功能性外科中的应用价值。方法：34例下颌骨大型囊性病变患者采用开窗减压术治疗，术后随访12个月以上，通过临床和影像学检查评价治疗效果。结果：34例病例术后随访1～9年。11例囊腔基本完全消退未进行二期处理，23例囊腔显著缩小行二期刮治手术。所有病例形态功能恢复良好无复发。结论：开窗减压术治疗下颌骨大型囊性病变，是保存下颌骨形态及功能的有效方法。Objective： To treat large mandibular cystic lesions by fenestration decompression and to explore its clinical value in mandibular functional surgery. Methods：34 large mandibular cystic lesions cases treated by fenestration decom-pression were reviewed. All cases were followed-up at least 12 months. According to the clinical observation, and radio-logical examination,the clinical cure rate was evaluated. Results： 34 cases were followed-up for 1-9 years. The cystic cavity of 11 cases almost regressed completely, and thus didn＆#39;t need a two-stage treatment. However, the cystic cavity of another 23 cases reduced significantly and were treated by two-stage curettage. The bone morphology and function re-sumed well and no reoccurrence was identified. Conclusion：The treatment of larger mandibular cystic lesions by decom-pression was effective to save the morphology and function of mandible.

关 键 词：开窗减压术 囊性病变 下颌骨 疗效 

分 类 号：R739.82[医药卫生—肿瘤]