刮除联合敞开术治疗颌骨经典型成釉细胞瘤的疗效观察  

Observation of the curative effect on curettage combined with fenestration for the treatment of jaw classic ameloblastoma

作　　者：刘彦杰[1] 宋勇[1] 陈裕聪 王俊林[1] LIU Yanjie;SONG Yong;CHEN Yucong;WANG Junlin(Department of Stomatology,Liuzhou People's Hospital,Liuzhou 545006,China)

机构地区：[1]柳州市人民医院口腔科,广西壮族自治区柳州545006

出　　处：《口腔疾病防治》2021年第8期548-552,共5页Journal of Prevention and Treatment for Stomatological Diseases

摘　　要：目的探讨刮除联合敞开术治疗颌骨经典型成釉细胞瘤的可行性,为改进经典型成釉细胞瘤的治疗方法提供依据。方法选取柳州市人民医院2016年至2019年收治的22例经典型成釉细胞瘤患者,采取刮除联合敞开术治疗,术后每月随访,复查曲面体层片面观察骨质恢复情况及有无复发。结果22例患者术中均能完全刮除肿物,未发生病理性骨折,术后未发生伤口感染。术后经过1~3年的追踪观察,19名患者原肿瘤区骨质恢复良好,未见复发;3例患者复发,行第二次刮除联合敞开术,原肿瘤区骨质恢复良好,随访12个月未见肿物复发;8例患者术后1年行种植牙修复牙列缺损。结论刮除联合敞开术治疗颌骨经典型成釉细胞瘤是一种方便有效的治疗方法。Objective To explore the feasibility of curettage combined with fenestration for jaw classic ameloblastoma treatment and to provide a basis for improving the treatment of classic ameloblastoma.Methods Twentytwo patients with jaw classic ameloblastoma admitted to Liuzhou People's Hospital from 2016 to 2019 were selected.They were treated by curettage combined with fenestration.Monthly followup visits were conducted after surgery,and orthopantomography was performed for reexamination to observe the recovery of bone and whether there was recurrence.Results Tumors were completely scraped off in 22 patients,no pathological fracture occurred,and no wound infection occurred after surgery.After 1 to 3 years of followup,19 patients showed excellent bone recovery in the original tumor area,and no recurrence was observed.Three patients relapsed and underwent a second curettage combined with fenestration,and the bone at the original tumor site recovered well.During the 12month followup,no tumor recurrence was observed.After the second curettage combined with open surgery,the bone at the original tumor site recovered well.Eight patients underwent dental implants to repair dentition defects one year after surgery.Conclusion Curettage combined with fenestration is a convenient and effective treatment for jaw classic ameloblastoma.

关 键 词：颌骨 成釉细胞瘤 经典型 良性肿瘤 刮除 联合 敞开 疗效观察 复发 

分 类 号：R78[医药卫生—口腔医学]