[摘要]目的：通过开窗减压加负压引流术治疗下颌骨囊性病变，并与传统手术治疗、单纯开窗术治疗方法相比较，探讨下颌骨囊肿治疗中保存颌骨功能及颌面外形的较佳治疗方法。方法：回顾采用开窗负压引流术治疗下颌骨囊性病变病例32例，平均负压引流18个月，通过摄X片及CT观察术后病灶变化，评价临床治疗效果。结果：术后病理诊断角化囊肿14例，造釉细胞瘤12例，含牙囊肿6例，30例术后囊腔有明显缩小，2例无变化。结论：开窗减压加负压引流术是治疗颌骨囊性病变的有效方法，能够消除病变引起骨膨隆破坏所致的颌面畸形。

    [关键词]开窗减压；负压引流；颌骨囊性病变

    [中图分类号]R782 [文献标识码]A [文章编号]1008-6455(2011)04-0575-03

    Application of decompression and suction drainage in the treatment of mandibular cystic lesions

    WANG Hong,LIAO Tian-an,JIANG Feng-yun,FU Liang-bin,HU Guang-wei,DENG Wei

    (Department of Oral and Maxillofacial Surgury,Hainan Province People's Hospital,Haikou 570311,Hainan,China)

    Abstract:ObjectiveTo evaluate the effect of decompression suction drainage treated mandibular cystic lesions,and compared with the other treatments such as surgery,decompression.In order to explore its value in the field of mandible conservative treatment. Methods32 cases of mandibular cystic lesions were performed decompression and suction drainage. After a mean duration of 18 months.Compared the cystic size before and after the treatment by X - ray and CT to evaluate the clinical effect.Results According the pathology,14 cases are cyst,12 cases are ameloblastoma,6 cases are dentigerous cyst ......