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目的探讨囊肿摘除术和开窗引流术两种不同手术方式治疗颌骨囊肿的效果。方法 96例颌骨囊肿患者,根据不同情况分别选择颌骨囊肿摘除术或开窗引流术,对结果进行分析。结果 83例(86.5%)囊肿摘除术患者全部达到痊愈标准,伤口一期愈合,无症状及功能障碍;其余13例采用开窗引流术患者,通过术后初期处理,无明显并发症,其中7例(7.3%)未来本院继续治疗,归结为好转,6例6个月后来院行二期摘除术后达到痊愈标准。全部病例无术后感染、无畸形及功能障碍,未发现复发病例。痊愈率92.7%(89/96),无无效病例。结论颌骨囊肿无论采用囊肿摘除术或开窗引流术哪种手术方式治疗,均可达到满意疗效,只要注意手术技巧,细心清除囊壁,提高缝合精确性,可防止并发症和复发。
Objective To investigate the effects of cyst excision and fenestration on the treatment of jaw cysts. Methods Ninety - six patients with jaw cyst were enrolled in this study. According to the different conditions, the patients were selected for enucleation of jaw cyst or fenestration, and the results were analyzed. Results All 83 patients (86.5%) underwent cystal resection, all of them achieved the standard of healed. The wounds were healed as soon as possible and asymptomatic and dysfunctional. The remaining 13 patients were treated with fenestration and had no postoperative complications. Among them, 7 Cases (7.3%) The hospital continued treatment in the future, boiled down to improvement, 6 cases 6 months later to the hospital after two resection to achieve the standard of recovery. No cases of postoperative infection, no deformity and dysfunction, no recurrence was found. The cure rate was 92.7% (89/96), no invalid cases. Conclusions The satisfactory results can be achieved with either operation of cyst extirpation or fenestration and drainage of the jaw cysts. Careful removal of the cystic wall and improvement of suture accuracy can prevent complications and recurrence.