颌骨嗜酸性肉牙肿临床病理回顾性研究

Retrospective Study of Clinical Pathological of Jawbone Eosinophilic Granuloma

目的 :探讨颌骨嗜酸性肉芽肿的发病情况、临床表现、诊断及治疗。方法 :收集 1980～ 2 0 0 1年在我科住院 ,最后经病理诊断为颌骨嗜酸性肉芽肿的病例 11例 ,对其发病情况、临床表现、X线表现、诊断及治疗作回顾性研究。结果 :颌骨嗜酸性肉芽肿 ,好发于儿童及青少年 ,男女比例约为 2∶1;好发部位为下颌磨牙区及下颌角 ;临床表现多样 ,以无痛性骨膨隆为主 ,有时有疼痛 ;手术刮治是首选的治疗手段 ,术后极少复发。结论 :颌骨嗜酸性肉芽肿 ,为比较少见的颌骨良性肿瘤 ,通过临床表现及X线检查不易诊断 ,确诊需要靠病理检查 。

Objective: To study the occurrence condition, clinical character, diagnosis and treatment. Methods: The occurrence condition, clinical features, X-ray traits, diagnosis and treatment of 11 cases which were diagnosed as eosinophilic granuloma pathologically in our department from 1980 to 2001 were reviewed retrospectively. Results: Most eosinophilic granuloma occurred in children and adolescents, occurrence proportion of male and female was 2:1; the most frequent sites of involvement were mandibular molar region and angle with various clinical features, most of which were characterized as painless extrusion, sometimes painful. Surgical operation was primary treatment, reoccurrence seldom happened after operation. Conclusion: Eosinophilic granuloma was a kind of benign tumor with low occurrence, which was difficult to diagnose by clinical features and X-ray traits. The final diagnosis should be confirmed pathologically and surgical operation was the primary treatment.