CAJ | 학술논문

目的：探讨开窗减压术治疗大型颌骨囊性病变的临床价值。方法：采用开窗减压术治疗大型颌骨囊性病变42例，治疗前后进行影像学检查，调查患者自行进行囊腔冲洗的频率，研究开窗减压术的疗效以及囊腔冲洗频率对治疗效果的影响。结果：患者术后3个月即可见囊腔边界模糊、体积缩小，12个月以后囊腔趋于稳定，此时可行二次手术刮除残余囊壁，此后随访1～2年无明显复发。囊腔应每天冲洗，但每天冲洗次数对疗程及疗效无明显影响。结论：开窗减压术对大型颌骨囊性病变的治疗具有明显疗效。
목적：탐토개창감압술치료대형합골낭성병변적림상개치。방법：채용개창감압술치료대형합골낭성병변42례，치료전후진행영상학검사，조사환자자행진행낭강충세적빈솔，연구개창감압술적료효이급낭강충세빈솔대치료효과적영향。결과：환자술후3개월즉가견낭강변계모호、체적축소，12개월이후낭강추우은정，차시가행이차수술괄제잔여낭벽，차후수방1～2년무명현복발。낭강응매천충세，단매천충세차수대료정급료효무명현영향。결론：개창감압술대대형합골낭성병변적치료구유명현료효。
Objective:To investigate the clinical value of decompression in the treatment of jaw large cystic lesions.Methods:42 patients with jaw large cystic lesions were treated with decompression.Imaging examination was taken and compared before and after the treatment.The influence of frequency of cyst cavity washing on the effect of decompression was observed.Results:3 moths after de-compression the border of the cyst cavity became ambiguous and the size of the cavity reduced.12 months after decompression the size of cyst cavity was stable,when second surgery was taken to remove the left cyst wall.There was no recurrence of the cystic lesion after 1 ~2 year follow-up.Cyst cavity was washed everyday,but the effect and treatment course were not influenced by the daily washing times.Conclusion:Decompression is effective in the treatment of the jaw large cystic lesions.