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开窗减压术治疗下颌骨大型囊性病变的临床研究 被引量:56

Clinical Study of Large Mandibular Cystic Lesions Treated by Decompression
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摘要 目的:通过开窗减压术治疗下颌骨大型囊性病变,探索其在下颌骨保存性功能外科中的应用价值。方法:回顾1999年10月~2004年10月治疗的107例下颌骨大型囊性病变开窗减压术病例,测量开窗减压术后病灶长径的变化,随访观察复发情况,评价临床治愈率。结果:开窗减压术治疗下颌骨大型囊性病变的总有效率为87.85%,牙源性角化囊肿的疗效优于囊性成釉细胞瘤,其中单房型角化囊肿疗效优于多房型者,单房或多房型囊性成釉细胞瘤之间疗效没有统计上差异。结论:开窗减压术是治疗颌骨大型囊性病变的有效方法。 Objective: To evaluate the effect of decompression treated large mandibular cystic lesions, and to explore its value in the field of mandible conservative surgery. Methods: 107 cases of large mandibular cystic lesions were performed decompression from 1999 to 2004. The cystic size before and after the decompression was measured to evaluate the clinical effect, the recurrence rate was followed up. Results: All 107 cases gained a total effective rate of 87.85%. Furthermore, the odontogenic keratocyst had a better result than the cystic ameloblastoma. Among keratocyst cases, the unilocular type was more effective than multilocular type. However, there are no significant difference in terms of effect rate between unilocular type and muhilocular type of cystic ameloblastoma. Conclusion: Decompression is a kind of ideal treatment for large mandibular cystic lesions.
出处 《口腔颌面外科杂志》 CAS 2005年第4期352-356,共5页 Journal of Oral and Maxillofacial Surgery
基金 上海市重点学科(优势学科)建设项目资助(Y0203)
关键词 开窗减压术 下颌骨 囊性病变 decompression mandible cystic lesion
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参考文献8

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