口腔颌面外科杂志
口腔頜麵外科雜誌
구강합면외과잡지
CHINESE JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
2014年
6期
439-442
,共4页
曹裕中%廖涛%谢思根%邱成端
曹裕中%廖濤%謝思根%邱成耑
조유중%료도%사사근%구성단
开窗减压术%囊性病变%下颌骨%疗效
開窗減壓術%囊性病變%下頜骨%療效
개창감압술%낭성병변%하합골%료효
fenestration decompression%cystic lesions%mandible%curative effect
目的：通过开窗减压术治疗下颌骨大型囊性病变，探讨其在下颌骨功能性外科中的应用价值。方法：34例下颌骨大型囊性病变患者采用开窗减压术治疗，术后随访12个月以上，通过临床和影像学检查评价治疗效果。结果：34例病例术后随访1～9年。11例囊腔基本完全消退未进行二期处理，23例囊腔显著缩小行二期刮治手术。所有病例形态功能恢复良好无复发。结论：开窗减压术治疗下颌骨大型囊性病变，是保存下颌骨形态及功能的有效方法。
目的：通過開窗減壓術治療下頜骨大型囊性病變，探討其在下頜骨功能性外科中的應用價值。方法：34例下頜骨大型囊性病變患者採用開窗減壓術治療，術後隨訪12箇月以上，通過臨床和影像學檢查評價治療效果。結果：34例病例術後隨訪1～9年。11例囊腔基本完全消退未進行二期處理，23例囊腔顯著縮小行二期颳治手術。所有病例形態功能恢複良好無複髮。結論：開窗減壓術治療下頜骨大型囊性病變，是保存下頜骨形態及功能的有效方法。
목적：통과개창감압술치료하합골대형낭성병변，탐토기재하합골공능성외과중적응용개치。방법：34례하합골대형낭성병변환자채용개창감압술치료，술후수방12개월이상，통과림상화영상학검사평개치료효과。결과：34례병례술후수방1～9년。11례낭강기본완전소퇴미진행이기처리，23례낭강현저축소행이기괄치수술。소유병례형태공능회복량호무복발。결론：개창감압술치료하합골대형낭성병변，시보존하합골형태급공능적유효방법。
Objective: To treat large mandibular cystic lesions by fenestration decompression and to explore its clinical value in mandibular functional surgery. Methods:34 large mandibular cystic lesions cases treated by fenestration decom-pression were reviewed. All cases were followed-up at least 12 months. According to the clinical observation, and radio-logical examination,the clinical cure rate was evaluated. Results: 34 cases were followed-up for 1~9 years. The cystic cavity of 11 cases almost regressed completely, and thus didn't need a two-stage treatment. However, the cystic cavity of another 23 cases reduced significantly and were treated by two-stage curettage. The bone morphology and function re-sumed well and no reoccurrence was identified. Conclusion:The treatment of larger mandibular cystic lesions by decom-pression was effective to save the morphology and function of mandible.
