颌骨囊肿开窗减压术与刮治术临床疗效评价及应用分析

doi:10.3969/j.issn.1005-4979.2018.04.008

《口腔颌面外科杂志》

颌骨囊肿开窗减压术与刮治术临床疗效评价及应用分析

郭骏1，黄怡1，费伟1，陈鹏羽1，2，王砚寒1，3

1. 四川省医学科学院，四川省人民医院口腔科，四川成都 610072； 2. 崇州市人民医院口腔科，四川成都 611200；3. 西南医科大学口腔医学院，四川泸州 646000

出版日期:2018-08-01 发布日期:2019-11-28
通讯作者: 陈鹏羽，医师. E-mail: 294992556@qq.com
作者简介:郭骏（1981—），男，四川内江人，副主任医师，博士. E-mail: 84005854@qq.com
基金资助:
四川省卫生计生委科技基金

Clinical Evaluation and Application Analysis of Fenestration Decompression and Curettage for Jaw Cysts

GUO Jun1, HUANG Yi1, FEI Wei1, CHEN Peng-yu1,2, WANG Yan-han1,3

1. Department of Stomatology, Sichuan Provincial Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Chendu 610072; 2. Department of Stomatology,Chongzhou People’s Hospital, Chendu 611200; 3. School of Stomatology, Southwest Medical University, Luzhou 646000, Sichan Porvince, China

Online:2018-08-01 Published:2019-11-28

摘要/Abstract

摘要： 目的：通过对比颌骨囊肿开窗减压术与刮治术的临床疗效，分析颌骨囊肿的手术方式选择依据。方法：回顾分析四川省人民医院颌面外科100例颌骨囊肿手术病例。根据接受的术式，设定观察组及对照组，观察组采取囊肿开窗减压术，对照组采取囊肿刮治术，每组50例患者。通过2年以上的跟踪随访，对比两组患者的临床疗效及手术相关并发症，探讨两种术式优缺点及适应证。结果：囊肿范围>3.0 cm×1.5 cm时，患者平均住院日、术后感染率、受累牙牙髓活力、二期手术率等指标，观察组均明显优于对照组（P＜0.05）。囊肿范围<3.0 cm×1.5 cm时，两组的术后感染及病理性骨折等指标差异无统计学意义。不论囊肿大小，对照组骨质形成周期均明显缩短（P＜0.05）。结论：颌骨囊肿开窗减压术，适用于囊肿累及范围大、受累患牙数>3颗的病例，对依从性好的患者有极佳的疗效；开窗减压术具有保存患区牙髓活力的独特优势。

关键词: 颌骨囊肿, 开窗减压术, 刮治术, 囊肿塞治器

Abstract: Objective: To summarize and analyze the clinical effect of fenestration decompression and curettage for jaw cyst，and to research evidences for the choice of different treatments. Methods: In this study a total of 100 jaw cyst patients in department of maxillofacial surgery, Sichuan Provincial People's Hospital were chose. 50 cases treated with fenestration decompression were grouped as the observation group, and 50 cases with cyst curettage were the control group. Through the clinical follow-up over 2 years, the study compared clinical curative effects and post-operation complications between two groups. Analysis the advantages and indications for different operations. Results: When the jaw cysts were large(>3.0 cm×1.5 cm), the observation indicators including postoperative infection, neurological symptoms, pathological fracture, dental pulp vitality and bone healing period for observation group were significantly lower than the control group (P<0.05). When the jaw cysts were small(<3.0 cm×1.5 cm), the observation indicators including postoperative infection, neurological symptoms, pathological fractures were similar and with no statistical significance. But the bone healing periods were significantly shorter in the control group (P<0.05). Conclusions: The fenestration decompression as a minimaly invasive operation had very good clinical treatment effects and was very optimal for the patients whose jaw cysts were large. Further more, the reservation of living pulp was the greatest advantage of fenestration decompression operation. Relatively the faster new bone reconstruction could be acquired in the patients accepting curettage operation.

Key words: jaw cyst, fenestration decompression, curettage operation, cyst plug device.

中图分类号:

R732.2

郭骏1，黄怡1，费伟1，陈鹏羽1，2，王砚寒1，3. 颌骨囊肿开窗减压术与刮治术临床疗效评价及应用分析[J]. 《口腔颌面外科杂志》, doi: 10.3969/j.issn.1005-4979.2018.04.008.

GUO Jun1, HUANG Yi1, FEI Wei1, CHEN Peng-yu1,2, WANG Yan-han1,3. Clinical Evaluation and Application Analysis of Fenestration Decompression and Curettage for Jaw Cysts[J]. 《Journal of Oral and Maxillofacial Surgery》, doi: 10.3969/j.issn.1005-4979.2018.04.008.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2018/V28/I4/219

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