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| 巨大下颌骨囊性病变分期治疗效果评价 | |
| 引用本文： | 张青,方利华,周平秀,鞠铎. 巨大下颌骨囊性病变分期治疗效果评价[J]. 上海口腔医学, 2011, 20(6): 627-630 |
| 作者姓名： | 张青 方利华 周平秀 鞠铎 |
| 作者单位： | 浙江省湖州市中心医院口腔科,浙江湖州,313000 |
| 基金项目： | 浙江省医药卫生科学研究基金项目(2006B125); 浙江省湖州市科研计划项目(2007YS28) |
| 摘 要： | 目的:探讨对巨大下颌骨囊性病变进行分期治疗的效果。方法:选择2005—2009年在本院收治的下颌骨范围大于5cm的囊性病变18例,其中伴牙列不齐者6例,一期局麻下行减压术,待范围减小至小于原来的1/2后,行二期全麻下囊性病变摘除术,即刻Bio-oss骨粉植入,术后每月定期拍摄口腔全景片观察骨密度变化,伴牙列不齐的6例患者手术后2个月开始以常规正畸加力牵引。结果:一期术后4~6个月,病变减小至原来的1/2左右,二期术后6~12个月,骨粉与周围正常骨密度基本一致,2~3a后无一例复发。6例牙列不齐的患者,经1~2a正畸治疗后,错畸形得以矫正。结论:分期治疗既彻底摘除了病变,又保存了下颌骨的连续性及自体牙,还可同时结合正畸治疗,改善错畸形,提高美学效果。 |
| 关 键 词： | 囊性病变 分期治疗 美学价值 |
Therapeutic effect of staged treatment for huge mandibular cystic lesions |
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| ZHANG Qing , FANG Li-hua , Ping-xiu , JV Duo. Therapeutic effect of staged treatment for huge mandibular cystic lesions[J]. Shanghai journal of stomatology, 2011, 20(6): 627-630 | |
| Authors: | ZHANG Qing FANG Li-hua Ping-xiu JV Duo |
| Affiliation: | ZHANG Qing,FANG Li-hua,ZHOU Ping-xiu,JV Duo.(Department of Stomatology,Huzhou Central Hospital.Huzhou 313000,Zhejiang Province,China) |
| Abstract: | PURPOSE:To investigate the therapeutic effect of staged treatment for huge mandibular cystic lesions.METHODS: The study enrolled 18 cases of huge cystic lesions whose extent in X-ray film exceeded 5 cm from 2005 to 2009 in our hospital,6 of them presented mal-aligned dentition.Decompression was first given under local anesthesia to make the entire extent gradually reduced to half of its primary extent,then the cysts were enucleated secondarily combined with simultaneous Bio-oss insertion under general anest... |
| Keywords: | Cystic lesion Staged treatment Aesthetic evaluation |
| 本文献已被 CNKI 万方数据 PubMed 等数据库收录！ | |