CAJ | 학술논문

目的：了解颌骨成釉细胞瘤的构成现状，为临床诊疗提供帮助。方法：回顾性分析2003-01—2014-6间于我科住院治疗的890例颌骨成釉细胞瘤的临床资料，对其性别、年龄、发病部位、病理分类进行分析。结果：890例成釉细胞瘤中平均年龄40.15岁，男女比例1.62∶1。下颌骨受累724例(81.35％)，上颌骨受累166例(18.65％)，左右颌骨发病率基本相同，颌骨任一部位均可见成釉细胞瘤的发生，但下颌磨牙及下颌升支区为最易受累部位。病理亚型中实体型378例，单囊型427例，为成釉细胞瘤最为常见的病理亚型。结论：成釉细胞瘤好发于青年，多见于下颌骨，男性发病率较女性高，实体型及单囊型为成釉细胞瘤最为常见的病理亚型，临床诊治中应注意其相应特点。
목적：료해합골성유세포류적구성현상，위림상진료제공방조。방법：회고성분석2003-01—2014-6간우아과주원치료적890례합골성유세포류적림상자료，대기성별、년령、발병부위、병리분류진행분석。결과：890례성유세포류중평균년령40.15세，남녀비례1.62∶1。하합골수루724례(81.35％)，상합골수루166례(18.65％)，좌우합골발병솔기본상동，합골임일부위균가견성유세포류적발생，단하합마아급하합승지구위최역수루부위。병리아형중실체형378례，단낭형427례，위성유세포류최위상견적병리아형。결론：성유세포류호발우청년，다견우하합골，남성발병솔교녀성고，실체형급단낭형위성유세포류최위상견적병리아형，림상진치중응주의기상응특점。
Objective: To review the clinical and pathological manifestations of jaw ameloblastomas in order to provide reference for clinical diagnosis and treatment. Methods: Clinical data, pathological features, and therapeutic measures of 890 ameloblastomas were retrospectively analyzed. Results: Age of patients ranged between 6 to 101 years old, with an average of 40.15 years old. Gender distribution between males and females were about 61.91%(551/890) males to 38.08%(339/890) females, with a ratio of (1.62∶1). 724 cases (81.35%) occurred in the mandible, 166 cases (18.65%) occurred in the maxilla. The morbidity was equal on both sides of the jaws. Mandibular molar and ramus region was the most prevalent site for ameloblastoma. Solid(378/890) and unicystic ameloblastoma(427/890) were the most common pathological subtypes. Conclusion: Ameloblastoma mainly occurs in the mandible. A great part of the 890 cases are young individuals. Men are more vulnerable to this lesion than women. The different therapy and prognosis of ameloblastomas should be taken into ac-count in daily clinical works.