开窗术后负压引流治疗大型牙源性颌骨囊肿的临床总结

Application of fenestration and suction drainage for treatment of large odontogenic mandibular cystic lesions

目的评价开窗术后负压引流治疗大型牙源性颌骨囊肿疗效。方法 2008-2011年,针对我科就诊的大型的牙源性颌骨囊肿24例,采用开窗术后负压引流对其进行治疗,观察术后1、6个月囊肿的变化情况。结果术后随访1-3年,所有患者囊腔基本消失,无1例复发,病变区域骨质生长修复良好,临床症状消除。结论开窗术后负压引流可以显著缩小甚至消除颌骨囊肿,改善患者面部膨隆畸形,是治疗大型牙源性颌骨囊肿切实可行的方法,值得临床推广应用。

Objective To evaluate the effect of fenestration and suction drainage in the treatment of large odontogenic mandibular cystic lesions.Methods From 2005 to 2009,24 cases of large odontogenic mandibular cystic lesions were treated with fenestration and suction drainage.The clinical symptoms and radiographical findings were evaluated before the operation and at 1 month and 6 months after suction drainage.Results Follow-up for 1-3 years showed that all the cystic lesions disappeared without recurrence,and the clinical symptoms were resolved.Conclusion Fenestration and suction drainage can reduce the cystic size and rapidly correct the deformity to serve as a useful modality for primary management of large odontogenic mandibular cystic lesions.