开窗减压术联合囊肿塞治疗颌骨囊性病变的临床分析

›› 2015, Vol. 35 ›› Issue (10): 826-829.

开窗减压术联合囊肿塞治疗颌骨囊性病变的临床分析

刘志,肖金刚,郭玲,赵威,孙黎波,张力

泸州医学院附属口腔医院

收稿日期:2015-04-01 修回日期:2015-05-18 出版日期:2015-10-28 发布日期:2015-10-27
通讯作者: 刘志 E-mail:656817428@qq.com
基金资助:
国家自然科学基金;四川省教育厅项目;四川省卫生厅项目;泸州医学院重点项目

Clinical analysis of combing fenestration decompression with cyst plug in treatment of jaw cystic lesions

Received:2015-04-01 Revised:2015-05-18 Online:2015-10-28 Published:2015-10-27

摘要/Abstract

摘要： 目的　　评价开窗减压术联合囊肿塞在颌骨囊性病变治疗中的临床效果。方法　对在我院口腔颌面外科诊断为颌骨囊性病变的61例患者切除部分组织行病理检查明确诊断，并采用开窗减压术联合囊肿塞治疗，开窗口大小1.0 cm × 1.5 cm～1.5 cm × 1.5 cm。术后儿童每2个月、成人每3个月复查一次，并拍摄曲面断层片，随访1～3年，观察骨再生修复情况和预后。结果　所有病例术后引流较好，未见出血、感染、永久性下颌神经损伤及复发等并发症，临床及口腔曲面断层片检查可见囊性病变范围逐渐缩小，骨再生情况良好，在儿童病例中囊性病变甚至完全消失。结论　开窗减压术联合囊肿塞治疗可促进颌骨囊性病变体积明显缩小甚至消失，可最大限度地保护及恢复颌骨的形态和功能，是治疗颌骨囊性病变的有效方式。

关键词: 开窗减压术, 囊肿塞, 颌骨囊性病变, 疗效

Abstract: Objective　To evaluate the clinical effects of fenestration decompression and cyst plug in treatment of jaw cystic lesions.Methods 61 cases of jaw cystic lesions, diagnosed by pathological examination of partial tissue resection, were treated with fenestration decompression and cyst plug by the 1 cm * 1.5 cm ~ 1.5 cm * 1.5cm window opening into the cystic cavity. During the follow-up period of 1～3 years, bone regeneration and prognosis were observed in all patients. Results All cases were cured. There were no severe complications, such as hemorrhage, infection, permanent mandibular nerve injury and recurrence after operation in all cases. Their facial appearance and function have improved significantly by clinical examination, and bone regeneration was in good condition by oral panoramic radiographs. Furthermore, jaw cystic lesions disappeared completely in some cases of children.Conclusion Fenestration decompression combined with cyst plug can reduce the size of the jaw cystic lesions, and make cystic lesions disappear in some cases. Moreover, fenestration decompression combined with cyst plug can restore the morphology and function of jaw mostly;it is an effective method for treating jawcystic lesions.

Key words: fenestration decompression, jaw cystic lesion, cyst plug, curative effect

中图分类号:

R739.82

刘志肖金刚郭玲赵威孙黎波张力. 开窗减压术联合囊肿塞治疗颌骨囊性病变的临床分析[J]. , 2015, 35(10): 826-829.

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