3牙位(以上)颌骨囊性肿块开窗术36例疗效探讨

The clinical study of fenestration on cystic mass of jaw ranged over 3-tooth

目的:探讨开窗术在颌骨囊性肿块治疗中的应用效果。方法:对36例3牙位(以上)颌骨囊性肿块患者施行开窗术,术后使用塞治器,每日冲洗,定期复查。结果:所有患者均无感染,无神经及牙齿损伤,颌骨外形恢复正常。术后1、3、6、12、18、24个月摄片,均提示骨质再生良好,囊腔明显缩小,6～24个月Ⅱ期手术。结论:开窗术在3牙位(以上)颌骨囊性肿块治疗效果良好且更微创。

Objective：To evaluate the clinical effect of fenestration on cystic mass of jaw.Methods：The fenestration was performed on the 36 patients with cystic masses of jaw which ranged over 3-tooth.Post-operation,the stoppers were applied on jaw wound and the wound was rinsed with normal saline every day.All patients were followed up.Results：Neither infection nor trauma of never or tooth was found on all cases.The contours of jaws resumed to normal conditon.The bone defects of cystic lesion were reduced remarked and regenerations of bone were confirmed by radiography after 1,3,6,18,and 24 follow-up.The secondary operations were performed on the cases 6 to 24 months later.Conclusion：The fenestration was a effective and minimally invasive therapy on cystic mass of jaw ranged over 3-tooth.