CAJ | 학술논문

目的寻找下颌骨造釉细胞瘤刮治术治疗后复发的影响因素。方法回顾采用刮治术治疗下颌骨造釉细胞瘤45例患者，分析其治疗效果及术后复发原因。结果下颌骨造釉细胞瘤经刮治术治疗后的45例患者，术后随访1年~5年，复发5例,总复发率为11.11%，5例复发者均为多囊，其中4例舌侧骨板破坏，肿物侵入舌侧软组织，4例术后病理显示有炎症细胞。3例复发再次刮治后再次复发，行颌骨切除后无复发。结论刮治术治疗下颌骨造釉细胞瘤是一种较为有效的治疗方法，此方法操作简单，创伤小，易于掌握，但也应注意手术适应症，注意术中注意事项，如术后复发作颌骨切除较为稳妥。
목적심조하합골조유세포류괄치술치료후복발적영향인소。방법회고채용괄치술치료하합골조유세포류45례환자，분석기치료효과급술후복발원인。결과하합골조유세포류경괄치술치료후적45례환자，술후수방1년~5년，복발5례,총복발솔위11.11%，5례복발자균위다낭，기중4례설측골판파배，종물침입설측연조직，4례술후병리현시유염증세포。3례복발재차괄치후재차복발，행합골절제후무복발。결론괄치술치료하합골조유세포류시일충교위유효적치료방법，차방법조작간단，창상소，역우장악，단야응주의수술괄응증，주의술중주의사항，여술후복발작합골절제교위은타。
Objectives: To investigate the recurrence factor after marsupialization in mandibular ameloblastoma. Methods: Retrospective analysis the recurrence factor after marsupialization in mandibular ameloblastoma. Results: 45 patients with mandibular ameloblastoma was admit ed and treated by marsupialization. The recurrence data after a fol ow-up period of 1-5 years were evaluated. 5 cases recurred, the recurrence rate was 11.11%. Al 5 cases were multiple cystic ameloblastoma, in which lingual bone cortex of 4 cases was invaded and the tumor was found in lingual soft tissue, inflamed cel s was found pathological y in 4 cases. 3 cases undergo second marsupialization and recurred again, but never recurred after bone resection. Conclusion:Conservative treatment of marsupialization was found to be a feasible, minimal y invasive, and ef ective way as treatment for mandibular ameloblastoma. But operation indication needs to be careful y control ed. Bone resection was recommended treatment after recurrence.