刮治开窗减压术治疗大型下颌骨囊性病变效果研究  

Effect of curettage and fenestration decompression in the treatment of large mandibular cystic lesions

作　　者：魏景健[1] 张爱侠[1] 韩琨[1] 李晓东 马艳红 孟箭[1] 郑浩[1] WEI Jing-jian;ZHANG Ai-xia;HAN Kun;LI Xiao-dong;MA Yan-hong;MENG Jian;ZHENG Hao(Department of Stomatology,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China)

机构地区：[1]徐州市中心医院·徐州医科大学徐州临床学院口腔科,江苏徐州221009

出　　处：《中国实用口腔科杂志》2024年第4期436-439,447,共5页Chinese Journal of Practical Stomatology

基　　金：国家口腔疾病临床医学研究中心项目(NCRCO202101)。

摘　　要：目的 研究刮治开窗减压术治疗大型下颌骨囊性病变的临床效果。方法 选取2020年6月至2022年9月于徐州市中心医院口腔科住院治疗的68例大型下颌骨囊性病变患者的临床和影像学资料进行回顾性分析,依据开窗减压术式将患者分为囊壁去除组(36例)和囊壁保留组(32例)。所有患者均随访1年以上,比较2组的临床疗效、术后不良反应发生情况及二次手术发生率。结果 囊壁去除组的临床治疗有效率为97.22%(35/36),略高于囊壁保留组[93.75%(30/32)],差异无统计学意义(χ~2=0.011,P=0.917)。2组患者的面颊部肿胀、下唇麻木及骨髓炎等术后不良反应发生率比较,差异均无统计学意义(均P> 0.05)。囊壁去除组中4例患者进行了二次手术,其二次手术发生率(11.11%)明显低于囊壁保留组[75.00%(24/32)],差异有统计学意义(χ~2=28.549,P <0.001)。结论 刮治开窗减压术治疗大型下颌骨囊性病变效果较佳,且大多数患者仅需行一次手术,值得临床借鉴参考。Objective To study the clinical effect of curettage and fenestration decompression in the treatment of large mandibular cystic lesions.Methods Clinical and imaging data of 68 patients with large mandibular cystic lesions admitted to the Department of Stomatology of Xuzhou Central Hospital from June 2020 to September 2022 were selected for retrospective analysis.All patients were divided into cystic wall removal group(36 cases)and cystic wall retaining group(32 cases)according to different methods of decompression,and were followed up for more than 1 year to compare the clinical outcomes,the occurrence of postoperative adverse reactions and the rate of secondary surgery between the 2 groups.Results The clinical treatment effectiveness of the cystic wall removal group was 97.22%(35/36),which was slightly higher than that of the cystic wall retaining group[93.75%(30/32)],and the difference was not statistically significant(χ2=0.011,P=0.917).There were no significant differences in the incidence of postoperative adverse reactions such as cheek swelling,lower lip numbness and osteomyelitis between the two groups(all P>0.05).Four patients in the cystic wall removal group underwent secondary surgery,and their rate of secondary surgery(11.11%)was significantly lower than that of the cystic wall retaining group[75.00%(24/32)],with a statistically significant difference(χ2=28.549,P<0.001).Conclusion Curettage and fenestration decompression for large mandibular cystic lesions has better results,and most patients need only one operation,which is worth clinical reference.

关 键 词：下颌骨 囊性病变 刮治开窗减压术 刮治术 

分 类 号：R78[医药卫生—口腔医学]