开窗减压联合阻塞器在青少年颌骨囊肿治疗中的应用研究  

Application research of fenestration associated with obturator in jaw cysts among teenagers

作　　者：马兆峰[1] 李石[2] 寇国明[1] 

机构地区：[1]北京市顺义区医院口腔科,北京101300 [2]北京军区总医院附属八一儿童医院,北京100700

出　　处：《中国美容医学》2016年第4期32-34,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的：评价开窗减压术联合阻塞器治疗青少年颌骨囊肿的疗效。方法：14例7-16岁的青少年颌骨囊肿病例,行囊肿上方乳牙拔除或薄弱骨壁开窗,根据牙列特点和开窗位置制作个性化阻塞器并进行间隙保持,观察囊肿愈合、恒牙萌出及牙根发育情况。结果：术后6-12月囊腔全部消失,X线检查骨质破坏区基本消失。部分挤压移位的恒牙胚能够回位并萌出,患者能够很好配合和耐受。结论：涉及恒牙胚或未发育完成恒牙的青少年颌骨囊肿实施开窗减压术,是一种能够尽量保留病变区恒牙和去除囊肿的有效方法,可根据不同情况制作个性化阻塞器,囊肿关闭后可以适时正畸治疗恢复牙列形态。Objective To evaluate the effect of fenestration associated with obturator in the treatment of juvenile jaw cysts. Methods 14 juvenile patients with large jaw cysts were reviewed and made extraction of the deciduous teeth and fenestration. Meanwhile, to make a special obturator according to dentition characteristics and location of decompression to ensure the continuous drainage of the cystic fluid. Regular examination and follow-up visits were made after surgery. Results The cysts cavity had been gradually reduced by clinical examination and replaced by the new bone by X-ray examination. The growth of jaw and eruption of dental germ were uninfluenced. Conclusion Fenestration is a simple and effective method in the juvenile jaw cysts.

关 键 词：开窗减压术 青少年 颌骨囊肿 囊肿阻塞器 混合牙列 

分 类 号：R739.8[医药卫生—肿瘤]