颌骨造釉细胞瘤术后复发的临床因素探讨  

Investigate the Clinical Factors of Recurrence of Ameloblastoma af-ter Operation

作　　者：刘道华 

机构地区：[1]重庆市万州区第一人民医院,重庆404000

出　　处：《现代诊断与治疗》2015年第10期2171-2173,共3页Modern Diagnosis and Treatment

摘　　要：目的探讨颌骨造釉细胞瘤术后复发的临床因素。方法回顾性分析64例造釉细胞瘤复发患者临床资料,观察肿物部位、X线表现、手术方式及病理类型与复发之间的关系。结果肿物部位中上颌复发率为30.77%;下颌复发率为18.46%,两者比较,差异具有统计学意义(P<0.05);X线表现中单房者复发率为38.16%,多房者复发率为12.86,两者比较,差异具有统计学意义(P<0.05);保守手术患者复发率为53.03%。根治性手术患者复发率为9.55%,两者比较,差异具有统计学意义(P<0.05);复发患者中以滤泡型为主,占76.79%。结论造釉细胞瘤与瘤体部位、X线表现及临床病理等因素相关,临床应根据以上因素,选择正确的手术方式,彻底治疗,减少复发。Objective To investigate the clinical factors of postoperative recurrence of the jaw bone tumor. Methods The clinical data of 64 patients with recurrent tumor recurrence were ret- rospectively analyzed, and the relationship between tumor location, X-ray manifestations, surgical methods, pathological types and recurrence was observed. Results The rate of recurrence of maxillary tumor site was 30.77%; mandibular relapse rate for 18.46%,in comparison, the difference was statistically significant （P〈0.05）; X-ray manifestations in single room recurrence rate was 38.16%, real recurrence rate was 12.86, in comparison, the difference was statistically significant （P〈0.05）;conservative surgery in the patients with recurrence rate is 53.03%. The recurrence rate was 9.55%, the difference was statistically significant （P〈0.05）, and the recurrence rate was 76.79%. Conclusions The factors related to the site, X-ray features and clinical pathology of the tumor are related to the site of the tumor, and the clinical manifestations should be chosen according to the above factors.

关 键 词：颌骨造釉细胞瘤 复发 因素 

分 类 号：R739.82[医药卫生—肿瘤]