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保守治疗牙源性角化囊肿的初步探讨 被引量:4

Investigation about conservative treatment of odontogernic keratocyst
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摘要 目的:探讨保守治疗牙源性角化囊肿的可行性和临床意义。方法:对我院近几年收治的囊肿较大、多发或不愿作根治术的12名患者,行彻底刮治术加开窗术的保守治疗,术后佩带塞治器,观察其疗效和复发率。结果:术后0.5~1年X线显示9例原病变区有大量新生骨质沉积,3例无明显疗效,有效率为75%,随访1~3年,复发4例,复发率为33.3%。结论:牙源性角化囊肿保守治疗有一定临床疗效,但尚需降低复发率。 Objective:To explore the feasibility and the clinical meaning of conservative treatment of odontogernic keratocyst.Method:12 cases with odontogernic keratocyst who had large cyst or more than one lesion or refused operation were treated by marsupialization and curettage .Removable appliance with a resin extension penetrating into the cystic cavity was used to keep the cavity open after operation. Result:The effective rate was 75% and recurrence rate was (33.3%).Conclusion:Conservative treatment of odontogernic keratocyst is feasible and effective .Recurrence rate should be decreased in further study.
出处 《临床口腔医学杂志》 2005年第7期415-417,共3页 Journal of Clinical Stomatology
关键词 牙源性角化囊肿 保守治疗 开窗术 刮治术 odontogernic keratocyst conservative treatment marsupialization curettage
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参考文献6

  • 1Nakamura N, Mitsuyasu T, Mitsuyasu Y, et al. Marsupialization for odontogenic keratocysts: long-term follow-up analysis of the effects and changes in growth characteristics[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2002 ,94(5):543-553.
  • 2Anthony Pogrel M, Jordan Rc R. Marsupialization as a definitive treatment for the odontogenic keratocyst[J]. Oral Maxillofac Surg, 2004 ,62(6):651-655.
  • 3Nishide N,Hitomi G, Miyoshi N. Irrigational therapy of a dentigerous cyst in a geriatric patient: a case Report[J].Spec Care Dentist, 2003,23(2):70-72.
  • 4Graziani F, Vano M, Tartaro G,et al. The use of hydrogen peroxide in the experimental therapy of cysts. An in vitro Analysis[J].Minerva Stomatol, 2003,52(7-8):373-380.
  • 5Bodner1 L , Bar Ziv J. Characteristics of bone formation following marsupialization of jaw cysts[J]. DentomaxillofacialRadiology,1998, 27(3),166-171.
  • 6Zhao YF, Wei JX, Wang SP. Treatment of odontogenic keratocysts: a follow-up of 255 Chinese patients[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2002,94(2):151-156.

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