CAJ | 학술논문

目的：介绍牙源性上颌骨囊肿的诊治体会。方法回顾性分析2012年1月～2014年6月经手术及病理证实为上颌骨牙源性囊肿45例患者的临床资料，分析其行囊肿刮治术治疗的疗效。结果45例患者均经梯形切口与龈乳头翻瓣刮治术于石炭酸涂抹创腔，其中囊肿与上颌窦相通6例，均行上颌窦根治术后经下鼻道开窗碘仿沙条引流，均未见复发，术后口腔上颌窦瘘1例。结论上颌骨囊肿的确诊早期靠X光片和穿刺，治疗主要靠手术，手术方式以梯形瓣龈乳头切口为宜，与上颌窦相通者应作上颌窦根治术。
목적：개소아원성상합골낭종적진치체회。방법회고성분석2012년1월～2014년6월경수술급병리증실위상합골아원성낭종45례환자적림상자료，분석기행낭종괄치술치료적료효。결과45례환자균경제형절구여간유두번판괄치술우석탄산도말창강，기중낭종여상합두상통6례，균행상합두근치술후경하비도개창전방사조인류，균미견복발，술후구강상합두루1례。결론상합골낭종적학진조기고X광편화천자，치료주요고수술，수술방식이제형판간유두절구위의，여상합두상통자응작상합두근치술。
Objective Experience in diagnosis and treatment of odontogenic cyst of maxilla introduction. Methods Analysis of January~2012 to surgery and pathology, 2014 menstrual conifrmed the clinical data of 45 patients with maxillary odontogenic cysts, analyzes its for cyst curettage in the treatment of clinical effect.Results 45 patients underwent trapezoid incision and papilla gingival lfap curettage in carbolic acid daub the wound cavity, including 6 cases of maxillary sinus cyst and communicated, underwent radical maxillary Antrotomyafter windowing of the inferior nasal meatus iodoform sand drainage, no recurrence, oroantral ifstula after operation in 1 cases.Conclusion Maxillary cysts diagnosed early by X ray and puncture, the treatment mainly depends on the operation,operation mode based on trapezoid flap nipple incision is appropriate, and communicated with the maxillary sinus should make radical maxillary antrotomy.