开窗引流术治疗巨大颌骨囊肿的疗效

Curative effect of fenestration drainage lavage in the treatment of giant jaw cyst

目的探讨开窗引流冲洗术在治疗巨大颌骨囊肿中的应用价值。方法对8例巨大颌骨囊肿患者实施开窗引流冲洗术，观察颌骨骨质情况。术后1、3、6及12个月复查曲面断层片，观察牙及牙胚的情况，并定期复查和随访，并于治疗前后对所有患者进行心理测评。结果所有病例均未出现长期反复感染，颌骨形态良好，未出现神经及邻近重要结构损伤症状。术后6个月～3年随访，骨质再生情况良好，囊肿未见复发。颌骨、牙、牙胚发育生长良好。治疗后所有患者人际关系、忧郁、焦虑三项的评测结果要优于治疗前（P〈0．05），治疗前后所有患者心理评测其他指标比较差异无统计学意义（P〉0．05）。结论开窗引流冲洗术是一种简便、经济、安全、效果良好的治疗巨大颌骨囊肿的方法，且颌骨、牙、牙胚生长发育不受影响，值得』临床推广。

Objective To investigate the fenestration drainage lavage in the treatment of giant jaw cyst and its clinical application value. Methods The fenestration drainage surgery was done on 8 patients with huge jaw cyst, and observation was made of jaw bone situation. One, three, six and twelve months after treatment, re - examination was made of the panoramic radiograph, observation was done of tooth and tooth buds, and review and follow - ups were regularized. And all patients were psychologically assessed before and after the treatment. Results All patients didn＇t have long - term recurrent infections, jaw shape was good, and no nerve and adjacent important structures damage symptoms occurred. Six months to three years after the operation, followups were done. Bone regeneration was in good condition, with no recurring of cyst. Jaw, teeth, tooth germ developed well. After the treatment, indicators like interpersonal discharge, depression and anxiety of the experimental group were better than before the treatment （P 〈 0.05）. All patients＇ other psychological indicators before and after the treatment were found to be having no statistical difference （P 〉0.05）Conclusion The fenestration drainage lavage is simple and convenient, economic, safe, effective in treatment of large jaw cysts, and jaw, teeth, tooth germ growth is not affected. Thus it is worthy of wide application.