牙源性颌骨囊肿的临床病理特点分析  

Analysis of clinicopathological characteristics of odontogenic jaw cysts

作　　者：罗建峰 周昊 魏卓[2,3] 费伟 LUO Jian-feng;ZHOU Hao;WEI Zhuo;FEI Wei(School of Medicine,University of Electronic Science and Technology of China,Chengdu 610054,China;Sichuan Academy of Medical Sciences&Sichuan Provincial People s Hospital,Chengdu 610072,China;North Sichuan Medical College,Nanchong 637100,China)

机构地区：[1]电子科技大学医学院,四川成都610054 [2]四川省医学科学院·四川省人民医院,四川成都610072 [3]川北医学院,四川南充637100

出　　处：《实用医院临床杂志》2021年第3期104-107,共4页Practical Journal of Clinical Medicine

摘　　要：目的对比分析牙源性颌骨囊肿患者的临床病理特征及预后,为提升该病的诊疗水平提供帮助。方法选取2018年6月至2020年1月在四川省人民医院口腔颌面外科诊治的牙源性颌骨囊肿患者271例,其中根尖囊肿165例为A组、含牙囊肿44例为B组、始基囊肿12例为C组、牙源性角化囊肿50例为D组。比较四组牙源性颌骨囊肿的临床特征及预后情况。结果四组患者在男女比例及囊肿类型对术后成骨速度比较,差异无统计学意义(P>0.05),A组发病年龄显著大于B、C、D组,差异有统计学意义(P<0.05)。各组囊肿在颌骨的好发部位不同,A组和B组诊断符合率均分别显著高于C组和D组,A组多发性囊肿发生率显著高于B、C、D组,A、D两组因复发而就诊的例数显著高于B组,差异均有统计学意义(P<0.05)。结论四种牙源性颌骨囊肿好发部位有所差异。多发性囊肿常见于根尖囊肿。建议术前影像学检查提高诊断符合率,并对采用开窗术的牙源性角化囊肿患者配合二期刮治术彻底去除囊壁,减少上皮残留以降低其复发率。Objective To comparatively analyze the clinicopathologic characteristics and prognosis of odontogenic jaw cystsin order to provide guidance for clinical diagnosis and treatment of the disease.Methods We collected the clinical data of 271 patients with odontogenic jaw cyst treated at the department of maxillofacial surgery of the Sichuan Academy of Medical Sciences&Sichuan Provincial People s Hospital from June 2018 to January 2020.Among the patients,there were 165 with radicular cysts(group A),44 with dentigerous cysts(group B),12 with primordial cysts(group C)and 50 with odontogenic keratocysts(group D).Based on clinical data,we compared and analyzed the clinical features and prognosis of the patients among the four groups.Results There was no significant difference in male-to-female ratioand postoperative osteogenesis rate among the four groups.The age of patients in the group A was significantly older than that in groups B,C and D(P<0.05).The prevalence of cysts in each group was different.The diagnostic coincidence rates of the group A and the group B were significantly higher than those of the groups C and D(P<0.05).The incidence of multiple cysts in the group A was significantly higher than that in the groups B,C and D(P<0.05).The rate of patients who went to a doctor due to cyst recurrence in the groups A and D was significantly higher than that in the group B(P<0.05).Conclusion The four types of odontogenic jaw cysts are different in their lesion locations.Multiple cysts are common in apical cysts.Preoperative imaging examination can improve the diagnostic coincidence rate of odontogenic jaw cysts.We recommend that patients with odontogenic keratocysts undergoing fenestration decompression should be combined with curettage tocompletely remove the cyst wall and residual odontogenic epithelium,thus toreduce their recurrence rate.

关 键 词：颌骨囊肿 组织病理学 开窗减压术 

分 类 号：R782[医药卫生—口腔医学]