50例下颌骨牙源性角化囊性瘤的手术疗效评价

摘要

Objective:To investigate the effect of surgical treatment for keratocystic odontogenic tumor.Method:50 keratocystic odontogenic tumor patients which chosen in our study,were received curettage or decompression surgery,based on the size of lesions.Result:3 patients(8.33%) incision healing delayed and 3 patients(8.33%) got a recurrence in 36 patients after curettage,the others were primary healing and no recurrence.Except for 1 patient receiving secondary decompression,in the group of decompression,the sizes of mostly lesions were decreased.The lesions of 2 patients(14.29%) were disappeared and 9 patients(64.29%) followed a secondary curettage,with no recurrence.Conclusion:Both curettage and decompression are effective surgical treatments for keratocystic odontogenic tumor,according to the size and location of the lesion.%目的：探讨下颌骨牙源性角化囊性瘤的手术治疗效果。方法：收集50例下颌骨牙源性角化囊性瘤病例，按病灶体积及部位行摘除术或开窗减压术。结果：行摘除术36例，切口延期愈合3例(8.33%)，其余均Ⅰ期愈合，随访期内复发3例(8.33%)。行开窗减压术14例，除1例(7.14%)需要行二次手术开窗外，其余病例病灶均不同程度缩小，2例(14.29%)病灶完全消失，9例(64.29%)行Ⅱ期手术摘除，未见复发。结论：根据病灶的大小及部位，选用摘除术或开窗减压术均可获得良好的疗效。