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2种开窗减压术治疗大型下颌骨牙源性囊肿的效果比较
引用本文:王磊,王周阳,马春跃,王良,郭兵,秦兴军.2种开窗减压术治疗大型下颌骨牙源性囊肿的效果比较[J].中国口腔颌面外科杂志,2022,20(1):58-62.
作者姓名:王磊  王周阳  马春跃  王良  郭兵  秦兴军
作者单位:1.广州医科大学附属口腔医院 口腔颌面外科,广州市口腔再生医学基础与应用研究重点实验室,广东 广州 510182;
2.上海交通大学医学院附属第九人民医院 口腔颌面-头颈肿瘤科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海 200011
摘    要:目的:探讨2种不同开窗减压术对大型下颌骨牙源性囊肿预后的差异.方法:选择93例大型下颌骨牙源性囊肿患者,根据开窗减压术方式不同,分为囊壁去除组(51例)和囊壁保留组(42例).比较术后1年剩余囊腔面积、体积及囊腔区域密度变化.结果 采用Prism 7.0软件进行统计学分析.结果:术后1年,囊壁去除组囊腔面积、囊腔体积、...

关 键 词:下颌骨  牙源性囊肿  开窗减压术  队列研究
收稿时间:2021-05-24
修稿时间:2021-08-25

Comparison of two different decompression procedures for treating large mandibular odontogenic cysts
WANG Lei,WANG Zhou-yang,MA Chun-yue,WANG Liang,GUO Bing,QIN Xing-jun.Comparison of two different decompression procedures for treating large mandibular odontogenic cysts[J].China Journal of Oral and Maxillofacial Surgery,2022,20(1):58-62.
Authors:WANG Lei  WANG Zhou-yang  MA Chun-yue  WANG Liang  GUO Bing  QIN Xing-jun
Institution:(Department of Oral and Maxillofacial Surgery,Affiliated Stomatology Hospital of Guangzhou Medical University,Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine.Guangzhou 510182,Guangdong Province;Department of Oromaxillofacial Head and Neck Oncology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology.Shanghai 200011,China)
Abstract:PURPOSE:To explore the differences in the prognosis of two different types of decompression procedures for treating large mandibular odontogenic cysts.METHODS:This retrospective cohort study included 93 patients with large mandibular odontogenic cysts,and divided into wall removal group(51 cases)and wall retaining group(42 cases)according to different methods of decompression.Cyst area,volume,HU values and cyst density were compared.The results were analyzed using Prism 7.0 software.RESULTS:After 1 year,the wall removal group was not inferior to the wall retaining group in terms of cyst area,cyst volume,and the difference between the HU values of the original cyst region and the normal mandible.In subgroup analysis,there was no significant difference between the two groups in percentage of patients in whom the cystic area was reduced by 90%after 1 year.However,changes in HU values in the wall removal group were significantly better than those in the wall retaining group.More importantly,patients underwent only one operation in wall removal group if there was no recurrence,which improved the quality of life and reduced the financial burden.CONCLUSIONS:The results suggest that cyst wall removal group showed better results than cyst wall retaining group in large mandibular odontogenic cysts.
Keywords:Mandible  Odontogenic cyst  Decompression  Cohort study
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