中华口腔医学研究杂志(电子版) ›› 2018, Vol. 12 ›› Issue (06) : 354 -359. doi: 10.3877/cma.j.issn.1674-1366.2018.06.005 × 扫一扫
所属专题： 文献；
临床研究
收稿日期:
出版日期:
通信作者:
基金资助:
Tonghan Zhang1, Xiaoling Liu2, Jinan Wu1,†(), Jueyao Chen1, Kui Su1, Qiaoyi Zheng1
Received:
Published:
Corresponding author:
About author:
张同韩, 刘晓玲, 吴纪楠, 陈觉尧, 苏葵, 郑巧仪. 大型颌骨囊性病变的开窗减压治疗[J]. 中华口腔医学研究杂志(电子版), 2018, 12(06): 354-359.
Tonghan Zhang, Xiaoling Liu, Jinan Wu, Jueyao Chen, Kui Su, Qiaoyi Zheng. Application of fenestration for treatment of large jaw cystic lesions[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2018, 12(06): 354-359.
探讨大型颌骨囊性病变的开窗减压治疗效果。
2013—2017年在中山市人民医院·口腔分院口腔颌面外科就诊的大型颌骨囊性病变患者18例，均采用开窗减压治疗术，观察术后3年囊腔的变化情况。
术后随访1 ~ 3年，15例患者囊腔基本消失、2例复发、1例治疗无效（改为传统的手术）。开窗治疗的病例病变区域骨质生长恢复良好，临床症状消除。
大型颌骨囊性病变的开窗减压治疗切实可行。对于病变累及的患牙牙髓尽量保留，待囊腔周围骨质生长回后，开窗减压治疗术后1年时根据活力测试考虑是否需要根管治疗。
To explore the effect of fenestration for large jaw cystic lesions.
Eighteen cases of large odontogenic cyst of maxillofacial areas in our department in 2013-2017 years were treated with fenestration, and the changes of cysts in 3 years after the operation were observed.
After 1-3 years of follow-up, the cystic cavity disappeared in 15 cases, 2 cases recurred and 1 case was not effective, which was treated by traditional operation. In the cases of fenestration, the bone growth in the lesion area recovered well, and the clinical symptoms were eliminated.
Fenestration for large jaw bone cystic lesions is feasible. The pulp of the affected teeth was preserved as far as possible. After the bone growth around the capsule, the root canal therapy was considered one year after the fenestration according to the dental pulp test.