颌骨囊肿68例临床治疗的疗效观察

目的总结颌骨囊肿的诊治经验。方法回顾分析68例颌骨囊肿患者,按性质、大小、分类分别给予不同的治疗方法,对诊治经验进行临床总结。小型囊肿采取根管治疗术;中型囊肿采取囊肿摘除术;大型囊肿17例均采取开窗减压术加二期刮除术。结果术后患者无自觉症状,咀嚼功能好;黏膜完整覆盖囊壁,骨腔消失,骨密度恢复正常。5年随访均未复发,治愈率90%以上。结论在治疗颌骨囊肿时,应根据其类型、病变部位和范围,以及患者的年龄和身体状况选择不同的术式。

Objective To summarize the experience in diagnosis and treatment of jaw bone cyst.Methods Data of 68 cases of jaw bone cyst were retrospectively analyzed from diagnosis and treatment point of view. Results All the incision healed with first intention.mastication achieved, the cavity of jaw bone cyst diminution,bone mineral density （BMD） augmentation.Satisfactory effects were obtained,and its cure rate was above 90%,and no recurrence was observed during the follow up of 5 years.Conclusion Different treatment methods to jaw bone cyst should be chosen according to its pathological changes,as well as patients age and the physical condition.