中国实用口腔科杂志2009，Vol.2Issue(7)：429-430,2.
手术治疗复发性牙源性角化囊肿79例回顾分析
Analysis of surgical treatment for 79 eases of recurrent odontogenie keratocyst.
李小东 1封兴华 2李光辉2
作者信息
- 1. 延安市人民医院口腔科,陕西延安716000
- 2. 第四军医大学口腔医院颌面外科,西安710032
- 折叠
摘要
Abstract
Objective To evaluate the result of the surgical treatment for recurrent odontogenic keratocyst. Methods The clinical data of 79 cases of recurrent odontogenic keratocyst, who had received operation in Department of Oral and Maxillofacial Surgery, School of Stomatology, Fourth Military Medical University and were conformed by pathologi-cal evidence, from January 1998 to March 2008, were collected and the different treatment effect analyzed. Results The methods of operation included conservative and radical treatment. (1)The recurrence rate of patients with conserva-tive treatment was 29.7% (11 /37), in which the recurrence rates were 80.0% (8/10) and 11.1% (3/27) in the pa-tients treated with curettage and curettage combined with cryotherapy, microwave or radiofrequency ablation respective-ly. The recurrence rate of those with radical treatment was 2.3%(1/42).(2)The mean recurrent time was 21.8 months and 47.6 months in the patients treated with curettage and curettage combined with cryotherapy , microwave or radiofre-quency ablation respectively. Postoperative recurrent time in 1 ease with radical treatment was 4 years. (3)The patients with conservative treatment had no obvious defects. The patients with radical treatment had different degree of maxillofa-cial deformities and occlusal obstacles. Conclusion The radical treatment is the primary therapy for recurrent odonti-genic keratocysts. For part of the cases, the application of positive conservative treatment can reduce complications as a result of ostectomy, reduce the recurrence, and achieve treatment effect similar to radical treatment.关键词
牙源性角化囊肿/复发/保守治疗/根治性治疗Key words
odontogenic keratocyst/recurrent/conservative treatment/radical treatment分类
医药卫生引用本文复制引用
李小东,封兴华,李光辉..手术治疗复发性牙源性角化囊肿79例回顾分析[J].中国实用口腔科杂志,2009,2(7):429-430,2.
