牙源性颌骨囊肿患者CBCT形态与体积分析及其与临床疗效的相关性研究  

Morphology and Volume Analysis of CBCT in Patients with Odontogenic Jaw Cysts and Its Correlation with Clinical Efficacy

作　　者：朱郁文 马壮 姚建 ZHU Yuwen;MA Zhuang;YAO Jian(Department of Oral and Maxillofacial Surgery,Zhuzhou Hospital,Central South University of Xiangya Medical College,Zhuzhou 412000,Hunan,China;Department of Medical Cosmetology,Zhuzhou Hospital,Central South University of Xiangya Medical College,Zhuzhou 412000,Hunan,China)

机构地区：[1]中南大学湘雅医学院附属株洲医院口腔颌面外科,湖南株洲412000 [2]中南大学湘雅医学院附属株洲医院医疗美容科,湖南株洲412000

出　　处：《中国美容医学》2024年第12期60-63,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析牙源性颌骨囊肿患者锥形束CT(Cone beam CT,CBCT)形态与体积分析及其与临床疗效的相关性。方法:选取2021年9月-2022年3月于笔者医院接受治疗的83例牙源性颌骨囊肿患者作为研究对象,采用CBCT对患者的牙源性颌骨囊肿进行直径、体积测量,分析颌骨形态与囊肿直径、体积的关系,同时根据临床疗效将患者分为有效组和无效组,分析形态和体积与临床疗效的关系。结果:临床症状明显、多房形态、形态边缘不规则以及骨质超标的牙源性颌骨囊肿的患者囊肿直径、体积越大(P<0.05);根据3个月后的治疗情况,最终有效组纳入49例,无效组纳入34例,无效组的囊肿多房形态、边缘不规则的占比以及囊肿直径和体积均高于有效组(P<0.05);多因素Logistic分析显示,患者年龄(OR=0.540,P=0.012)、囊肿的直径(OR=0.482,P=0.043)、体积(OR=0.086,P=0.009)、形态(OR=3.610,P=0.031)以及边缘情况(OR=3.491,P=0.024)均是影响临床疗效的相关因素(P<0.05)。结论:应特别注意牙源性颌骨囊肿直径较大、体积向外扩展患者的临床情况,对存在边缘形态不规则、多房形态以及临床扪诊有乒乓球样压弹感症状的患者,进行密切的形态学和体积临床病理随访。Objective To analyze the morphology and volume of cone-beam CT(CBCT)in patients with odontogenic jaw cysts and its correlation with clinical efficacy.Methods Eighty-three patients with odontogenic jaw cysts who were treated in the author's hospital from September 2021 to March 2022 were selected as the research subjects.CBCT was used to measure the diameter and volume of odontogenic jaw cysts,and the relationship between jaw morphology and cyst diameter and volume was analyzed.According to the clinical efficacy,the patients were divided into effective group and ineffective group,and the relationship between morphology and volume and clinical efficacy was analyzed.Results The patients with obvious clinical symptoms,multi-locular morphology,irregular shape edge and excessive bone mass of odontogenic jaw cysts had larger cyst diameter and volume(P<0.05).According to the treatment situation after three months,49 cases were included in the effective group and 34 cases were included in the ineffective group.The multi-locular morphology,the proportion of irregular margin,and the diameter and volume of cysts in the ineffective group were higher than those in the effective group(P<0.05).Multivariate Logistic analysis showed that the age of the patient(OR=0.540,P=0.012),diameter of the cyst(OR=0.482,P=0.043),volume(OR=0.086,P=0.009),morphology(OR=3.610,P=0.031),and marginal condition(OR=3.491,P=0.024)were all relevant factors affecting the clinical efficacy(P<0.05).Conclusion Special attention should be paid to the clinical situation of patients with odontogenic jaw cysts of large diameter and outwardly expanding volume.Close morphological and volumetric clinical pathology follow-up should be conducted for patients with irregular edge morphology,multi-locular morphology,excessive bone mass and Clinical palpation showed a ping-pong sensation.

关 键 词：锥形束投照计算机重组断层影像 牙源性颌骨囊肿 囊肿体积 临床疗效 

分 类 号：R782[医药卫生—口腔医学]