CAJ | 학술논문

目的探讨牙龈浆细胞肉芽肿的病因、病理、临床表现和治疗.方法对9例牙龈浆细胞肉芽肿患者的临床资料进行回顾性分析.结果 7例发生在20～40岁(77.8%);多表现为上颌双尖牙和磨牙区的牙龈乳头红肿、易出血和相应牙齿松动、脱落.3例切除牙龈病灶、牙周刮治并中药治疗,保留牙齿;6例牙齿松动并X线片见牙周垂直吸收,手术切除病灶、拔除牙齿,其中2例术后配合激素、放疗.所有病例均治愈,随诊0.5～2.0年未见复发.结论早期病灶切除、牙周刮治与中医治疗相结合可有效控制本病发展,已造成牙周破坏,应以手术治疗为主.
목적 탐토아간장세포육아종적병인、병리、림상표현화치료.방법 대9례아간장세포육아종환자적림상자료진행회고성분석.결과 7례발생재20～40세(77.8%);다표현위상합쌍첨아화마아구적아간유두홍종、역출혈화상응아치송동、탈락.3례절제아간병조、아주괄치병중약치료,보류아치;6례아치송동병X선편견아주수직흡수,수술절제병조、발제아치,기중2례술후배합격소、방료.소유병례균치유,수진0.5～2.0년미견복발.결론 조기병조절제、아주괄치여중의치료상결합가유효공제본병발전,이조성아주파배,응이수술치료위주.
Objective To study the clinical features and treatment of gingiva plasma cell granulo-ma.Method The clinical information of 9 cases with gingival plasma cell gmnuloma Was analyzed retre-spectively.Results The disease most frequently attacked the people between age 20-40 years(77.8%) and the main pathogenic position were at the gingival of bicuspid and molar teeth.Clinical maJlif.estation were gingival swelling and bleeding,dental loosening and dropping.Three patients were given focal resection. Subgingival curettage and Chinese traditional medicine.After loosening teeth found and peridental absortion shown in X-rays,6 patients were operated to extract loosening teeth and reseet their foci,in which 2 patients were given hormonotherapy and small-dose radiotherapy after operation.All cases were cured and no recurrence were found after follow-up survey from halfa year to 2 years.Conclusions The disease is rare and call result in the loss of periodontal tissue in a short time.In its premature time.the disease can be effectively cured by focal excision with subgingival curettage and Chinese traditional medicine.If Deriodontal tissue has been invaded,Surgical excision and extraction of teeth is the main way.