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口腔頜面部囊性病變 92 例臨床分析
李志華 ,周叢豪
鐵道部北京總醫(yī)院口腔科 (北京 100038)
〔摘要〕 目的 通過(guò)對(duì)口腔頜面部囊性病變的臨床和病理特點(diǎn)分析 ,以提高確診率 ,減少誤診、漏診率。并探討治
療中的有關(guān)問(wèn)題。方法 對(duì)我院 1990～1998年間收治、經(jīng)組織學(xué)確認(rèn)的 92 例口腔頜面部囊性病變特點(diǎn)進(jìn)行回顧性分
析。結(jié)果 92 例頜面部囊性病變中 ,軟組織囊腫 48 例(52. 20 %) ,頜骨囊腫 44 例(47. 80 %) 。48 例軟組織囊性病變中 ,頜下區(qū) 22 例(45. 80 %)腮腺區(qū) 18 例(16. 70 %) 。44 例頜骨囊腫中 ,上頜骨 33 例(75. 00 %) ,下頜骨 11 例(25. 00 %) 。44
例頜骨囊腫中 ,牙源性囊腫 30 例(68. 8 %) 。頜面部囊性病變的發(fā)病年齡以 20～60 歲較多 ,占病例總數(shù)的 57. 00 %。全
組病例 ,男 59 例 ,女 33 例 ,男、女之比為 2. 75∶ 1。其治療應(yīng)徹底切除囊腫或去除囊壁 ,并處理好相關(guān)的牙齒。結(jié)論 口
腔頜面部囊性病變是常見(jiàn)的良性病變 ,徹底摘除囊腫和囊壁 ,正確處理相關(guān)牙齒 ,防止復(fù)發(fā)至關(guān)重要。
〔關(guān)鍵詞〕 頜面部囊性病變;病理分類(lèi);臨床分析
〔中圖分類(lèi)號(hào)〕 R739. 81 〔文獻(xiàn)標(biāo)識(shí)碼〕 B 〔文章編號(hào)〕 1005 - 8664 (2000) 04 - 58 - 02
Cl inic analysis on 92 cases of cystic changes in maxillofacial region of the oral cavity
L I zhi2hua ,ZHOU Cong2hao
Beijing Railway General Haspital .Beijing 100038
〔Abstract〕 Objective To increase the rate of correct diagnosis and decrease the rate of misdiagnosis and missed diagnoses
through analysing on clinical and pathological characteristics of cystic changes in maxillofacial region of the oral cavity. Methods
The characteristics of 92 cases of maxillofacial cyst f rom 1990 to 1998 in our hos pital were collected and analysed. Results In
92 cases of maxillofacial cyst ,there were 48 cases of cyst of soft tissues ,accountinng for 52. 2 %;44 cases of cyst of jaw ,account2
ing for 47. 8 %. In 48 cases of cyst of soft tissues ,there were 22 submaxillary case ,accounting for 45. 8 %;and 18 parotid cases ,accoounting for 16. 7 %. In 44 cases of cyst of jaw ,there were 33 maxillary cases ,accounting for 75 % ,11 mandibular cases ,ac2
counting for 25 % among 44 cases of cyst of jaw ,there were 30 cases odontogenic cysts ,accounting for 68. 18 %. The patients in2
volved in cystic changes in maxillofacial region raged f rom 20～60 years ,accouning for 57 % of the total amount of the cases. A2
mong 92 cases of maxillofacial cyst , 59 cases were male ,3 cases female. The ratio of the male to female was 2. 75∶ 1. Clinical
manifestation was chiefly marked by an osseous bulge of the jaw and painless lumps of the soft tissues. Nervous symptoms were
seldom emcounterd. The t reatmment was based on removing the cyst or cyst wall completely ,and t reating the affected teeth ac2
cording to different syndromes. Conclusions Cystic changes in maxillofacial region of the oral cavity is a common benign dis2
ease. To remove the cyst and cyst wall and t reat the relevant teeth properly is of great importance for the prevention of repeated
at tacks.
〔Key words〕 cystic changes in maxillofacial region ;pathological classification ;clinical analysis
本文收集我院 1990～1998 年間收治的 92 例經(jīng)組
織病理學(xué)確診的口腔頜面部囊腫 ,對(duì)囊腫的發(fā)病部位 ,病理分類(lèi) ,臨床表現(xiàn)及發(fā)病年齡分別統(tǒng)計(jì)并結(jié)合臨床
特點(diǎn)討論了治療中的有關(guān)問(wèn)題 ......
口腔頜面部囊性病變 92 例臨床分析
李志華 ,周叢豪
鐵道部北京總醫(yī)院口腔科 (北京 100038)
〔摘要〕 目的 通過(guò)對(duì)口腔頜面部囊性病變的臨床和病理特點(diǎn)分析 ,以提高確診率 ,減少誤診、漏診率。并探討治
療中的有關(guān)問(wèn)題。方法 對(duì)我院 1990～1998年間收治、經(jīng)組織學(xué)確認(rèn)的 92 例口腔頜面部囊性病變特點(diǎn)進(jìn)行回顧性分
析。結(jié)果 92 例頜面部囊性病變中 ,軟組織囊腫 48 例(52. 20 %) ,頜骨囊腫 44 例(47. 80 %) 。48 例軟組織囊性病變中 ,頜下區(qū) 22 例(45. 80 %)腮腺區(qū) 18 例(16. 70 %) 。44 例頜骨囊腫中 ,上頜骨 33 例(75. 00 %) ,下頜骨 11 例(25. 00 %) 。44
例頜骨囊腫中 ,牙源性囊腫 30 例(68. 8 %) 。頜面部囊性病變的發(fā)病年齡以 20～60 歲較多 ,占病例總數(shù)的 57. 00 %。全
組病例 ,男 59 例 ,女 33 例 ,男、女之比為 2. 75∶ 1。其治療應(yīng)徹底切除囊腫或去除囊壁 ,并處理好相關(guān)的牙齒。結(jié)論 口
腔頜面部囊性病變是常見(jiàn)的良性病變 ,徹底摘除囊腫和囊壁 ,正確處理相關(guān)牙齒 ,防止復(fù)發(fā)至關(guān)重要。
〔關(guān)鍵詞〕 頜面部囊性病變;病理分類(lèi);臨床分析
〔中圖分類(lèi)號(hào)〕 R739. 81 〔文獻(xiàn)標(biāo)識(shí)碼〕 B 〔文章編號(hào)〕 1005 - 8664 (2000) 04 - 58 - 02
Cl inic analysis on 92 cases of cystic changes in maxillofacial region of the oral cavity
L I zhi2hua ,ZHOU Cong2hao
Beijing Railway General Haspital .Beijing 100038
〔Abstract〕 Objective To increase the rate of correct diagnosis and decrease the rate of misdiagnosis and missed diagnoses
through analysing on clinical and pathological characteristics of cystic changes in maxillofacial region of the oral cavity. Methods
The characteristics of 92 cases of maxillofacial cyst f rom 1990 to 1998 in our hos pital were collected and analysed. Results In
92 cases of maxillofacial cyst ,there were 48 cases of cyst of soft tissues ,accountinng for 52. 2 %;44 cases of cyst of jaw ,account2
ing for 47. 8 %. In 48 cases of cyst of soft tissues ,there were 22 submaxillary case ,accounting for 45. 8 %;and 18 parotid cases ,accoounting for 16. 7 %. In 44 cases of cyst of jaw ,there were 33 maxillary cases ,accounting for 75 % ,11 mandibular cases ,ac2
counting for 25 % among 44 cases of cyst of jaw ,there were 30 cases odontogenic cysts ,accounting for 68. 18 %. The patients in2
volved in cystic changes in maxillofacial region raged f rom 20～60 years ,accouning for 57 % of the total amount of the cases. A2
mong 92 cases of maxillofacial cyst , 59 cases were male ,3 cases female. The ratio of the male to female was 2. 75∶ 1. Clinical
manifestation was chiefly marked by an osseous bulge of the jaw and painless lumps of the soft tissues. Nervous symptoms were
seldom emcounterd. The t reatmment was based on removing the cyst or cyst wall completely ,and t reating the affected teeth ac2
cording to different syndromes. Conclusions Cystic changes in maxillofacial region of the oral cavity is a common benign dis2
ease. To remove the cyst and cyst wall and t reat the relevant teeth properly is of great importance for the prevention of repeated
at tacks.
〔Key words〕 cystic changes in maxillofacial region ;pathological classification ;clinical analysis
本文收集我院 1990～1998 年間收治的 92 例經(jīng)組
織病理學(xué)確診的口腔頜面部囊腫 ,對(duì)囊腫的發(fā)病部位 ,病理分類(lèi) ,臨床表現(xiàn)及發(fā)病年齡分別統(tǒng)計(jì)并結(jié)合臨床
特點(diǎn)討論了治療中的有關(guān)問(wèn)題 ......
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