下颌骨囊肿术后引流方式的探讨  

Drainage of lower jaw cystic lesions after surgery

作　　者：韩传火[1] 刘俊[1] 曾久荷[1] 

机构地区：[1]武汉华中科技大学同济医学院附属协和医院口腔医疗中心,430022

出　　处：《现代口腔医学杂志》2003年第4期326-327,共2页Journal of Modern Stomatology

摘　　要：目的 探讨下颌骨囊肿术后的最佳引流方式,减少术后并发症。方法 对比研究111例下颌骨囊肿的病例,术后分别采用切口严密缝合加根管引流和单独严密缝合口内切口两种处理方式。结果 采用根管引流的55例下颌骨囊肿出现并发症(瘘管形成)仅1例,占1.9%。而只采用严密缝合法的56例中,其中直径在3cm以下的下颌骨囊肿有1例出现并发症,占3.4％,而直径在3cm以上的并发症发生率高达30.7％。结论 下颌骨囊肿术后尽量采用根管引流;对于直径3cm以下的下颌骨囊肿也可采用口腔内切口严密缝合法。Objective To evaluate the effects of two ways on dealing with lower jaw cystic lesions postoperatively. Methods Fifty - five case of lower jaw cystic lesions were drained postoperatively through root canal and the wound of lower jaw cystic lesion in 56 cases were tightly sutured postoperatively. Results One point nine percent of all 55 cases which were drained by root canal result in complications (fistula mucosa). Thirth point seven percent of 56 cases whose wound were tightly sutured postoperatively result in fistula mucosa and fissure. Conclusion When lower jow cystic lesions were drained postoperatively through root cancal,they could produce less complications. When the lesions whose diameter were less than 3cm were tightly sutured pastoperatively,they could also result in less complications.

关 键 词：下颌骨囊肿 术后 引流方式 并发症 根管引流 

分 类 号：R782.3[医药卫生—口腔医学]