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上颌骨动脉瘤样骨囊肿的诊断与治疗 (附4例报告及文献复习)
引用本文:张学辉,黄健男,占顺堂,傅向军.上颌骨动脉瘤样骨囊肿的诊断与治疗 (附4例报告及文献复习)[J].临床耳鼻咽喉头颈外科杂志,2004,18(9):553-554.
作者姓名:张学辉  黄健男  占顺堂  傅向军
作者单位:广东雀一七七医院耳鼻咽喉-头颈外科,广州,510317
摘    要:目的:探讨上颌骨动脉瘤样骨囊肿的诊断与治疗。方法:4例上颌骨动脉瘤样骨囊肿患者,1例在局部麻醉下行上颌窦根治术,3例在全身麻醉下行鼻侧切开术。结果:术后随访13个月~2年均无复发。结论:动脉瘤样骨囊肿以根治性手术切除为主,力求彻底。术前DSA检查确认瘤体供血动脉并栓塞,对减少术中出血和缩短手术及全身麻醉时间有显著作用。

关 键 词:动脉瘤样骨囊肿  上颌肿瘤
文章编号:1001-1781(2004)09-0553-02
修稿时间:2004年1月5日

Exploration of diagnosis and treatment of maxillary aneurysmal bone cyst (report of 4 cases and review of literature)
ZHANG Xuehui HUANG Jiannan ZHAN Shuntang FU Xiangjun.Exploration of diagnosis and treatment of maxillary aneurysmal bone cyst (report of 4 cases and review of literature)[J].Journal of Clinical Otorhinolaryngology,2004,18(9):553-554.
Authors:ZHANG Xuehui HUANG Jiannan ZHAN Shuntang FU Xiangjun
Institution:Department of Otorhinolaryngology-Head and Neck Surgery, Guangdong Province 177 Hospital, Guangzhou, 510317, China.
Abstract:Objective:To explore the diagnosis and treatment of maxillary aneurysmal bone cyst.Method:For 4 cases with maxillary aneurysmal bone cyst,1 case underwent radical maxillary sinusotomy in local anaesthesia and 3 cases underwent lateral rhinotomy in general anaestesia.Result:The 4 cases were followed up for 13 months to 2 years after operation and no patient was found recurrence.Conclusion:The main treatment of aneurysmal bone cyst was radical operation,to strive for thorough treatment.Confirming and embolizing the feed artery by DSA preoperatively can reduce bleeding during operation and shorten the time of operation and general anesthesia obviously.
Keywords:Aneurysmal bone cyst  Maxillary neoplasms
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