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目的:评价开窗术对颌骨囊肿的治疗效果。方法:对确诊的26例颌骨囊肿患者采用开窗术治疗,术后定期复查评价治疗效果。结果:所有患者在行开窗术后,临床与X线检查均显示病变范围明显减小;18例不需行二期手术治疗,8例行二期刮治术后完全恢复,所有患者未见复发。行二期刮治术的8例患者中,6例刮治后病检未见典型囊壁组织,仅见纤维样组织;与术前病理检查比较,囊壁炎性变化,多处灶性玻璃样变,局部新生骨形成。结论:开窗术促使颌骨囊肿逐步减小,囊壁炎性变化,局部新生骨形成,为开窗术的临床应用提供良好的基础;开窗术是治疗颌骨囊肿的有效方法。
Objective: To evaluate the therapeutic effect of fenestration on the jaw cyst. Methods: Twenty-six cases of jaw cyst were diagnosed by the method of fenestration. The effect of treatment was evaluated by regular review after operation. Results: The clinical and X-ray examination showed that the range of lesion was significantly reduced in all patients after the window was opened. In the 18 cases, the second-stage operation was not needed, and the second stage was completely recovered after the second-stage curettage in 8 cases relapse. Among the 8 patients who underwent second-stage curettage, there were no typical cyst wall tissues in 6 cases after curettage, and only fibrous tissue was seen. Compared with preoperative pathological examination, cyst inflammatory changes, Change, local newborn bone formation. Conclusion: The fenestration is a effective method for the treatment of jaw cysts because of the reduction of the cyst of the jaw, the inflammatory changes of the wall, and the formation of local new bone, which are the basis of clinical application of fenestration.