内窥镜辅助刮治颌骨囊性病变专家共识  

Expert consensus on the treatment method of endoscopic assisted curettage for cystic lesions of the jaw bone

作　　者：吴炜 陈攀 黄志权[2] 朱桂全[3] 何悦[4] 李春洁[3] 阮敏[4] 秦力铮[5] 闫冰[3] 王成[6] 胡镜宙[4] 孙志军 任国欣[4] 尚伟[8] 杨凯[9] 李吉辰[10] 孙沫逸 WU Wei;CHEN Pan;HUANG Zhiquan;ZHU Guiquan;HE Yue;LI Chunjie;RUAN Min;QIN Lizheng;YAN Bing;WANG Cheng;HU Jingzhou;SUN Zhijun;REN Guoxin;SHANG Wei;YANG Kai;LI Jichen;SUN Moyi(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratory of Stomatology,Department of Maxillofacial Oncology,The Third Hospital Affiliated of Air Force Military Medical University,China,710032 Xi'an;Department of Oral and Maxillofacial Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou;State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases,Department of Head and Neck Oncology,West China Hospital of Stomatology,Sichuan University,Chengdu;Department of Maxillofacial Oncology,Shanghai Ninth People's Hospital,Shanghai Jiaotong University School of Medicine;Department of Oral and Maxillofacial Surgery,Capital Medical University School of Stomatology,Beijing;Department of Oral and Maxillofacial Surgery,Guanghua College of Stomatology,Sun Yat-Sen University,Guangzhou;Department of Maxillofacial Oncology,Hospital of Stomatology Wuhan University;Department of Oral and Maxillofacial Surgery,The Affiliated Hospital of Qingdao University;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Chongqing Medical University;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Harbin Medical University)

机构地区：[1]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院口腔颌面头颈肿瘤科,西安710032 [2]中山大学孙逸仙纪念医院口腔颌面外科 [3]口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院头颈肿瘤外科 [4]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科 [5]首都医科大学附属北京口腔医院口腔颌面外科 [6]中山大学光华口腔医院口腔颌面外科 [7]武汉大学口腔医院颌面头颈肿瘤外科 [8]青岛大学附属医院口腔颌面外科 [9]重庆医科大学附属第一医院口腔颌面外科 [10]哈尔滨医科大学附属第一医院,口腔医院口腔颌面外科

出　　处：《实用口腔医学杂志》2024年第3期301-308,共8页Journal of Practical Stomatology

基　　金：国家自然科学基金(编号:92268119)。

摘　　要：刮治术是颌骨囊性病变的主要治疗手段,但单纯的刮治术容易损伤周围结构如邻牙、神经等,且存在刮治不彻底、颌骨缺损较大等情况。而内窥镜(Endoscope)辅助下的刮治术,能够为术者提供良好的手术视野,在术中能更清晰的辨认出重要的解剖结构,尽可能去除囊壁组织,减小损伤,降低病变复发率。该文就结合颌面外科的特点及临床治疗经验,总结国内外相关文献,经相关专家经共同讨论,以期对内窥镜辅助下刮治颌骨囊性病变的临床治疗提供参考。Curettage is the main treatment method for oral maxillofacial cystic lesions,but simple curettage may easily damage surrounding structures such as adjacent teeth and nerves,leading to incomplete removal of the cyst and large jaw defects.The curettage assisted by endoscopy can provide a good surgical field for the surgeons,can clearly identify the important anatomical structure during the operation and can remove the cyst wall tissue as much as possible,thereby reducing the damage and reducing the recurrence rate of the lesion.This article combines the characteristics of maxillofacial surgery with clinical treatment experience,summarizes relevant literature from both domestic and international sources,and engages in discussions with experts in order to provide reference for the clinical treatment of jaw cystic lesions with endoscope assisted curettage.

关 键 词：内窥镜 刮治 颌骨囊性病变 治疗 专家共识 

分 类 号：R782[医药卫生—口腔医学]