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目的 总结牙源性粘液瘤的临床、 X 线及病理基本特征。方法 取患者64 例,男女各32 例,平均年龄200 岁;病变位于颌骨30 例,下颌骨34 例,进行临床、 X 线及病理分析。结果 临床表现以前磨牙区和磨牙区常见,多以颌骨局部缓慢膨胀就诊。 X 线检查见病变呈单房或多房透光影,以牙发生区为中心。镜下以淡兰色、疏松细丝网状粘液样基质及散在其间的星芒状细胞构成,含多少不等的纤维成分,可分为纤维粘液瘤型(47 例) 和粘液纤维瘤型(17 例) 两型。结论 通过讨论该病的组织来源、诊断与鉴别诊断,生物学行为及多发原因,认识到该病多发主要因手术方式选择不当所致。
Objective To summarize the clinical, radiological and pathological features of odontogenic myxoma. Methods Totally 64 patients, 32 males and 32 females, with an average age of 200 years. Thirty cases of mandible and 34 cases of mandible were included in the study. The clinical, radiological and pathological features were analyzed. Results The clinical manifestations of the premolar area and the molar area are common, and more slowly expanding the jaw to see the local treatment. X-ray examination showed lesions were single or multi-room translucent film to the occurrence of dental area as the center. Microscope to light blue, loose filament mesh like mucus-like matrix and dispersed in the star-shaped cells between the composition, with varying degrees of fiber content, can be divided into fibrous myxoma (47 cases) and mucinous fibroids 17 cases) two types. Conclusion By discussing the source, diagnosis and differential diagnosis, biological behavior and multiple causes of the disease, we recognize that the main cause of this disease is mainly due to improper choice of surgical methods.