开窗减压术治疗大型颌骨囊性病变的疗效  

Clinical observation of decompression for treatment of large cystic lesions located in jaw bone

作　　者：储德强[1] 赵兵[1] 叶虎[1] 

机构地区：[1]安徽医科大学合肥口腔临床学院(合肥市口腔医院)口腔颌面外科,230001

出　　处：《安徽医学》2015年第7期813-815,共3页Anhui Medical Journal

摘　　要：目的探讨开窗减压术治疗大型颌骨囊性病变的临床效果及应用价值。方法对2011年2月至2013年7月合肥市口腔医院口腔颌面外科收治的13例颌骨囊性病变(包括5例含牙囊肿、6例牙源性角化囊性瘤、2例单囊型成釉细胞瘤),进行经口内开窗减压术,术后定期复诊,拍摄X线片或锥形束CT检查,观察术后囊腔缩小情况。结果 13例患者中4例含牙囊肿囊腔完全消失,剩下9例均行Ⅱ期刮治术,术后恢复良好。结论开窗减压术是一种简单、有效的治疗大型颌骨囊性病变的方法。但对于牙源性角化囊性瘤和单囊型成釉细胞瘤仍需行二期手术治疗。Objective To investigate the clinical effectiveness and the applicable values of decompression in treating large cystic le-sions of jaw bone. Methods From February 2011 to July 2013, 13 cases of large jaw bone cystic lesions were treated in this hospital, inclu-ding 5 cases of dentigerous cyst, 6 cases of keratocystic odontogenic tumor and 2 cases of unicystic ameloblastoma. Decompression within oral cavity was performed. Periodical observations were taken to assess the narrowing situation by panoramic photography or CBCT. Results Cysts disappeared completely in 4 cases dentigerous cyst. 9 cases were healed by secondary definitive surgery. Conclusion Decompression is a simple and effective treatment for the large jaw cystic lesion. Secondary definitive surgery may essentially be performed to treat keratocys-tic odontogenic tumor and unicystic ameloblastoma.

关 键 词：开窗减压术 颌骨囊性病变 含牙囊肿 牙源性角化囊性瘤 成釉细胞瘤 

分 类 号：R782[医药卫生—口腔医学]