开窗减压联合磨削术治疗颌骨囊性病变的临床应用  

Grinding Treatment the Clinical Curative Effect of Jaw Cystic Lesion.

作　　者：程祥永[1] 张兰[1] 

机构地区：[1]山东省临沂市沂水中心医院,山东临沂276400

出　　处：《中国伤残医学》2016年第1期7-9,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：开窗减压联合磨削治疗术对颌骨囊性病变的临床疗效。方法：时2008—2013年收治的40例接受保守治疗并随访的颌骨囊性病变病例资料进行综合分析。结果：40颌骨囊性病变直径为3．5—10．5cm。开窗减压联合磨削术后3—24个月颜面畸形基本消除；术后3、6、12、24个月x线片复查，囊腔大小分别平均缩小30％、50％、75％、85％。结论：保守治疗较大颌骨囊性病变可以保存下颌骨的连续性及囊肿邻近的重要组织结构；能有效保存牙齿，改善咬合关系；促进新骨生成，减少对颌骨发育的干扰和手术次数，较快地消除颜面畸形。结论：开窗减压联合磨削治疗术颌骨囊性病变有更好的治疗作用，具有广阔的应用前景。Objective： to found and grinding treatment the clinical curative effect of jaw cystic lesion. Methods： 40 cases of conservative treatment and follow -up jaw cystic lesion cases data for comprehensive analysis from 2008 to 2013. Results： 40 jaw cystic lesion was 3.5 - 10.5 cm diameter. Windowing decompression and grinding postoperative 3 - 24 months facial deformity basically eliminated ; 3, 6, 12, 24 months after X ray film review, cystic cavity size shrink by an average of 30%, 50%, 75% and 30% respectively; Conclu- sion： conservative treatment of large jaw cystic lesion can keep the continuity of mandible and cysts adjacent important organizational struc- ture; Can effectively save the teeth, improve occlusal relationship; Promote the new bone formation, reduce the interference and opera- tions of the development of jaw bone quickly eliminate facial deformities. Conclusion ： windowing decompression and grinding healing jaw cystic lesion has better treatment effect, has a broad application prospect.

关 键 词：颌骨囊性病变 开窗减压 磨削术 

分 类 号：R782[医药卫生—口腔医学]