CAJ | 학술논문

目的：探讨颌骨造釉细胞瘤术后复发的临床因素。方法回顾性分析64例造釉细胞瘤复发患者临床资料，观察肿物部位、X线表现、手术方式及病理类型与复发之间的关系。结果肿物部位中上颌复发率为30．77%；下颌复发率为18．46%，两者比较，差异具有统计学意义（P＜0．05）；X 线表现中单房者复发率为38．16%，多房者复发率为12．86，两者比较，差异具有统计学意义（P＜0．05）；保守手术患者复发率为53．03%。根治性手术患者复发率为9．55%，两者比较，差异具有统计学意义（P＜0．05）；复发患者中以滤泡型为主，占76．79%。结论造釉细胞瘤与瘤体部位、X线表现及临床病理等因素相关，临床应根据以上因素，选择正确的手术方式，彻底治疗，减少复发。
목적：탐토합골조유세포류술후복발적림상인소。방법회고성분석64례조유세포류복발환자림상자료，관찰종물부위、X선표현、수술방식급병리류형여복발지간적관계。결과종물부위중상합복발솔위30．77%；하합복발솔위18．46%，량자비교，차이구유통계학의의（P＜0．05）；X 선표현중단방자복발솔위38．16%，다방자복발솔위12．86，량자비교，차이구유통계학의의（P＜0．05）；보수수술환자복발솔위53．03%。근치성수술환자복발솔위9．55%，량자비교，차이구유통계학의의（P＜0．05）；복발환자중이려포형위주，점76．79%。결론조유세포류여류체부위、X선표현급림상병리등인소상관，림상응근거이상인소，선택정학적수술방식，철저치료，감소복발。
A bstract: Objective To investigate the clinical factors of postoperative recurrence of the jaw bone tumor. Methods The clinical data of 64 patients with recurrent tumor recurrence were ret-rospectively analyzed, and the relationship between tumor location, X-ray manifestations, surgical methods, pathological types and recurrence was observed. Results The rate of recurrence of max-illary tumor site was 30.77%; mandibular relapse rate for 18.46%,in comparison, the difference was statistically significant (P<0.05); X-ray manifestations in single room recurrence rate was 38.16%, real recurrence rate was 12.86, in comparison, the difference was statistically significant (P<0.05);conservative surgery in the patients with recurrence rate is 53.03%. The recurrence rate was 9.55%, the difference was statistically significant (P<0.05), and the recurrence rate was 76.79%. Conclusions The factors related to the site, X-ray features and clinical pathology of the tumor are related to the site of the tumor, and the clinical manifestations should be chosen according to the above factors.