开窗减压术联合囊肿塞治疗颌骨囊性病变的临床分析

Clinical analysis of combing fenestration decompression with cyst plug in treatment of jaw cystic lesions

目的评价开窗减压术联合囊肿塞在颌骨囊性病变治疗中的临床效果。方法对在我院口腔颌面外科诊断为颌骨囊性病变的61例患者切除部分组织行病理检查明确诊断,并采用开窗减压术联合囊肿塞治疗,开窗口大小1.0 cm×1.5 cm^1.5 cm×1.5 cm。术后儿童每2个月、成人每3个月复查一次,并拍摄曲面断层片,随访1~3年,观察骨再生修复情况和预后。结果所有病例术后引流较好,未见出血、感染、永久性下颌神经损伤及复发等并发症,临床及口腔曲面断层片检查可见囊性病变范围逐渐缩小,骨再生情况良好,在儿童病例中囊性病变甚至完全消失。结论开窗减压术联合囊肿塞治疗可促进颌骨囊性病变体积明显缩小甚至消失,可最大限度地保护及恢复颌骨的形态和功能,是治疗颌骨囊性病变的有效方式。

Objective To evaluate the clinical effects of fenestration decompression and cyst plug in treatment of jaw cystic lesions.Methods 61 cases of jaw cystic lesions,diagnosed by pathological examination of partial tissue resection,were treated with fenestration decompression and cyst plug by the 1 cm × 1. 5 cm ~ 1. 5 cm × 1. 5 cm window opening into the cystic cavity. During the follow-up period of 1 ~ 3 years,bone regeneration and prognosis were observed in all patients. Results All cases were cured. There were no severe complications,such as hemorrhage,infection,permanent mandibular nerve injury and recurrence after operation in all cases. Their facial appearance and function have improved significantly by clinical examination,and bone regeneration was in good condition by oral panoramic radiographs. Furthermore,jaw cystic lesions disappeared completely in some cases of children. Conclusions Fenestration decompression combined with cyst plug can reduce the size of the jaw cystic lesions,and make cystic lesions disappear in some cases.Moreover,fenestration decompression combined with cyst plug can restore the morphology and function of jaw mostly; it is an effective method for treating jawcystic lesions.