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下颌骨成釉细胞瘤复发原因的临床研究
引用本文:许亦权,胡敏,石怀银. 下颌骨成釉细胞瘤复发原因的临床研究[J]. 口腔医学研究, 2004, 20(4): 407-409
作者姓名:许亦权  胡敏  石怀银
作者单位:解放军总医院口腔科,北京,100853;解放军总医院口腔科,北京,100853;解放军总医院口腔科,北京,100853
基金项目:“十五”军队医药卫生科研基金资助 (编号 :0 1MA11)
摘    要:目的:探讨下颌骨成釉细胞瘤复发的原冈。方法:分析21例下颌骨成釉细胞瘤复发患者的病理、X线片、手术方式与肿瘤复发的关系。结果:下颌骨成釉细胞瘤复发平均年龄38.7岁,平均复发时间术后54.6个月。复发部位多局限于下颌骨,仅有1例软组织转移一病理类型多为滤泡型,占80.95%。X线表现多房型占71.43%,单房型占23.81%。结论:手术方式是下颌骨成釉细胞瘤复发与否的决定因素,X线观察和病理诊断可以为决定手术方式提供参照,但存在很大局限性。术后5年内患者定期复查X线片对下颌骨成釉细胞瘤复发的及时发现非常重要。

关 键 词:下颌骨  成釉细胞瘤  复发
文章编号:1671-7651(2004)04-0407-03
修稿时间:2004-03-18

The Clinical Research of the Recurrence of Mandibular Ameloblastoma
XU Yi-quan,HU Min,SHI Huai-yin. The Clinical Research of the Recurrence of Mandibular Ameloblastoma[J]. Journal of Oral Science Research, 2004, 20(4): 407-409
Authors:XU Yi-quan  HU Min  SHI Huai-yin
Affiliation:XU Yi-quan,HU Min,SHI Huai-yin. The Department of Stomatology General Hospital of PLA,Beijing 100853
Abstract:Objective: To investigate the reasons of the recurrence of mandibular ameloblastoma. Methods: The clinical, radiographic and histopathologic data of 21 recurrent cases were analysed. Results: The mean age of the recurrence was 38.7 years and the mean time was 54.6 months after the operations. Most recurrence located in the mandible, only one metastasized to the nearby soft tissue. The most common histological pattern was follicular(80.95%). Radiographically, 15 tumors were multilocular and 5 were unilocular. Conclusions: The operative patterns greatly influence whether the tumor recur or not. The radiographic and histological diagnosis are useful to make the choice of the operation pattern. Long-term follow-up at regular intervals after surgery is important and is recommended.
Keywords:Mandible Ameloblastoma Recurrence
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