《Journal of Oral and Maxillofacial Surgery》

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Marsupialization Combined with Cyst Plug on the Treatment of Large Cyst of Jaw A clinical Review of 39 Cases

DI Rui-ling, LI Xiang-chun, ZHANG Xin, LU Tong-tong   

  • Online:2018-12-01 Published:2019-11-28

应用袋形术联合囊肿塞治疗大型颌骨囊肿临床疗效分析

邸瑞玲, 李向春, 张 鑫, 路彤彤   

  1. 河北秦皇岛市第一医院口腔科,河北 秦皇岛 066000
  • 通讯作者: 路彤彤,教授 E-mail:lutongtong@hotmail.com
  • 作者简介:邸瑞玲(1963—),女,河北乐亭人,副主任医师,学士. E-mail: dongfangruiling@163.com

Abstract: Objective: To evaluate the clinical effects of marsupialization on the treatment of cyst of jaw. Methods: 39 cases with large cysts of jaw treated using marsupialization from 2007 to 2016 in our department were collected and the postoperative clinical results were analyzed. All the patients were followed up 1-3 years postoperatively. Results: Clinical and X-ray examination showed the cystic lesion gradually reduced at 3-6 months postoperatively in 35 cases and eventually disappeared at 12 months after operation in 30 cases. Subsequent enucleation were performed in 9 patients and all the patients were recovered in 6 months postoperatively. Conclusion: Marsupialization is a simple but effective method to treat large cyst of jaw. There will be less damage to important structures. The maxillofacial contour and function after operation are satisfactory.

Key words: cyst of jaw, marsupialization, cyst plug

摘要: 目的:评价袋形术治疗颌骨囊肿的临床应用。方法:收集2007—2016间来我院就诊,并采用袋形术治疗的大型颌骨囊肿患者39例,术后随访1~3年,对术后治疗效果进行评价、分析。结果:35例患者术后3~6个月X线片示骨腔缩小,骨密质增强;30例患者术后12个月骨腔逐渐消失;9例患者术后1年骨腔缩小,行囊肿刮治术,术后3~6个月伤口愈合良好,囊腔消失。结论:袋形术是一种简单、有效的治疗大型颌骨囊肿的方法,手术创伤小,减少了对重要结构的损伤,最大限度地保存牙齿,维持颌面部外形和功能。

关键词: 颌骨囊肿, 袋形术, 囊肿塞

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