开窗减压术治疗颌骨大型囊性肿瘤临床初步研究(1)
[摘要]目的：探讨开窗减压术治疗上、下颌骨大型囊性肿瘤的效果以及应用价值，旨在为该疗法的临床应用提供可靠依据。方法：前瞻性随机选取2015年5月-2016年5月笔者医院收治的108例大型囊性肿瘤患者，采取随机数字表法将其分为两组。观察组：54例，采用开窗减压术；对照组：54例，采取传统囊肿刮除术，随访调查美观度影响，记录患者病变大小形态的改变、下唇感觉功能检测、受累牙附近牙牙髓活力检测、感染发生率及复发发生率。结果：两组患者囊腔缩小情况显示，观察组54例患者美观度优良率、牙髓活力检测以及病变侧下唇感觉评分明显优于对照组，差异有统计学意义(P<0.05)；观察组患者未出现病理性骨折、复发等情况，复发率明显低于对照组(P<0.05)。结论：大型囊性肿瘤患者行开窗减压术疗效较佳，有较高安全性，并且可恢复美观度，值得临床推广应用。
[关键词]牙髓活力检测；下唇感觉功能；开窗减压术；大型囊性肿瘤；美观度
[中图分类号]R782.2 [文献标志码]A [文章编号]1008-6455(2018)10-0089-03
, http://www.100md.com
Abstract： Objective To investigate the effect of window decompression on the treatment of large cystic tumors of upper and lower jaw and its application value. The aim is to provide a reliable basis for the clinical application of this therapy. Methods A total of 108 patients with large cystic tumors were randomly selected from May 2015 to May 2016 in our hospital. 108 patients were divided into two groups using a random number table method. In the observation group， 54 patients underwent decompression of the fenestration， and 54 patients in the control group underwent conventional cystectomy. Changes in the patient's lesion size and morphology， detection of lower lip sensory function， detection of dental pulp and pulp vitality near the affected tooth， incidence of infection， and incidence of recurrence were recorded. Results The cystic shrinkage of the two groups showed that the excellent rate of aesthetics， the detection of pulp vitality and the sensory score of the lower lip of the lesion were significantly better in the observation group than in the control group (P<0.05). There were no pathological fractures and recurrences in the observation group， and the recurrence rate was significantly lower than that in the control group (P<0.05). Conclusion Patients with large cystic tumors have better curative effect， higher safety， and can restore aesthetics. It is worthy of clinical promotion and application.
, 百拇医药
Key words： dental pulp vitality； lower lip sensory function； window decompression； large cystic tumor； aesthetic
有研究表明傳统囊肿刮除术治疗大型囊性肿瘤患者往往后期需要作复杂的修复手术，增加了患者的经济负担，影响了患者的生活水平以及生理心理状态等[1-2]。为此，本研究选取2015年5月-2016年5月笔者医院收治的108例大型囊性肿瘤患者，采取开窗减压术治疗及传统囊肿刮除术治疗，并比较其临床疗效，旨在为临床采用开窗减压术治疗上、下颌骨大型囊性肿瘤提供可靠依据，现报道如下。
1 资料和方法
1.1 一般资料：108例大型囊性肿瘤患者，患者或者患者家属签署知情同意书，本研究获得伦理委员会批准。
纳入标准：①全景片检查X线显示最长直径超过3.5cm的上、下颌骨囊肿或囊性病变，本研究患者最长直径3.5～8.4cm，平均4.9cm；②年龄在40岁以下；③无治疗病史；④术中冰冻考虑为角化囊性瘤或壁性成釉细胞瘤，术后病理确诊。排除标准：①身体合并其他重大基础性疾病；②不同意本研究者；③无法完成随访者。
采取随机数字表法将108例患者分为两组，观察组：54例，采用开窗减压术，病变部位包括下颌骨体部+下颌升支41例，下颌骨体部8例，上颌骨磨牙区4例；其中男31例，女23例，年龄21.2～39.5岁，平均年龄(31.26±3.18)岁；对照组：54例，患者采取传统囊肿刮除术，其中男32例，女22例，年龄21.3～39.8岁，平均年龄(32.12±3.19)岁，病变部位包括下颌骨体部+下颌升支39例，下颌骨体部9例，上颌骨磨牙区5例。两组患者资料无明显差异，具有统计学意义(P>0.05)。, 百拇医药(比力克孜·玉素甫 达成利 帕拉提·艾斯卡 阿力木江·苏甫尔)
[关键词]牙髓活力检测；下唇感觉功能；开窗减压术；大型囊性肿瘤；美观度
[中图分类号]R782.2 [文献标志码]A [文章编号]1008-6455(2018)10-0089-03
, http://www.100md.com
Abstract： Objective To investigate the effect of window decompression on the treatment of large cystic tumors of upper and lower jaw and its application value. The aim is to provide a reliable basis for the clinical application of this therapy. Methods A total of 108 patients with large cystic tumors were randomly selected from May 2015 to May 2016 in our hospital. 108 patients were divided into two groups using a random number table method. In the observation group， 54 patients underwent decompression of the fenestration， and 54 patients in the control group underwent conventional cystectomy. Changes in the patient's lesion size and morphology， detection of lower lip sensory function， detection of dental pulp and pulp vitality near the affected tooth， incidence of infection， and incidence of recurrence were recorded. Results The cystic shrinkage of the two groups showed that the excellent rate of aesthetics， the detection of pulp vitality and the sensory score of the lower lip of the lesion were significantly better in the observation group than in the control group (P<0.05). There were no pathological fractures and recurrences in the observation group， and the recurrence rate was significantly lower than that in the control group (P<0.05). Conclusion Patients with large cystic tumors have better curative effect， higher safety， and can restore aesthetics. It is worthy of clinical promotion and application.
, 百拇医药
Key words： dental pulp vitality； lower lip sensory function； window decompression； large cystic tumor； aesthetic
有研究表明傳统囊肿刮除术治疗大型囊性肿瘤患者往往后期需要作复杂的修复手术，增加了患者的经济负担，影响了患者的生活水平以及生理心理状态等[1-2]。为此，本研究选取2015年5月-2016年5月笔者医院收治的108例大型囊性肿瘤患者，采取开窗减压术治疗及传统囊肿刮除术治疗，并比较其临床疗效，旨在为临床采用开窗减压术治疗上、下颌骨大型囊性肿瘤提供可靠依据，现报道如下。
1 资料和方法
1.1 一般资料：108例大型囊性肿瘤患者，患者或者患者家属签署知情同意书，本研究获得伦理委员会批准。
纳入标准：①全景片检查X线显示最长直径超过3.5cm的上、下颌骨囊肿或囊性病变，本研究患者最长直径3.5～8.4cm，平均4.9cm；②年龄在40岁以下；③无治疗病史；④术中冰冻考虑为角化囊性瘤或壁性成釉细胞瘤，术后病理确诊。排除标准：①身体合并其他重大基础性疾病；②不同意本研究者；③无法完成随访者。
采取随机数字表法将108例患者分为两组，观察组：54例，采用开窗减压术，病变部位包括下颌骨体部+下颌升支41例，下颌骨体部8例，上颌骨磨牙区4例；其中男31例，女23例，年龄21.2～39.5岁，平均年龄(31.26±3.18)岁；对照组：54例，患者采取传统囊肿刮除术，其中男32例，女22例，年龄21.3～39.8岁，平均年龄(32.12±3.19)岁，病变部位包括下颌骨体部+下颌升支39例，下颌骨体部9例，上颌骨磨牙区5例。两组患者资料无明显差异，具有统计学意义(P>0.05)。, 百拇医药(比力克孜·玉素甫 达成利 帕拉提·艾斯卡 阿力木江·苏甫尔)