国际口腔医学杂志

国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (4): 493-496.doi: 10.7518/gjkq.2017.04.024

• 综述 • 上一篇    

颌骨囊性病变开窗减压术疗效评价方法的研究进展

章茜, 杨旭东   

  1. 南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科 南京 210008
  • 收稿日期:2016-10-19 修回日期:2017-04-17 出版日期:2017-07-01 发布日期:2017-07-01
  • 通讯作者: 杨旭东,主任医师,博士,Email：yangxd66@163.com
  • 作者简介:章茜,医师,硕士,Email：sissy_oral@163.com
  • 基金资助:
    南京市科技发展计划（201503037）

Research progress on the effectiveness assessment of decompression on large jaw cystic lesions

Zhang Qian, Yang Xudong   

  1. The Affiliated Stomatological Hospital of Medical School, Nanjing University, Dept. of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Nanjing 210008, China
  • Received:2016-10-19 Revised:2017-04-17 Online:2017-07-01 Published:2017-07-01
  • Supported by:
    This study was supported by Nanjing Science and Technology Development Plan(201503037).

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摘要： 开窗减压术通过在囊性病变表面开窗,释放囊内压力,以达到促进病变恢复的目的,目前已被广泛应用于一期治疗各类大型颌骨囊性病变。这种方法能有效促进病变缩小及骨质沉积,保护邻近组织,并能潜在地降低牙源性角化囊性瘤和单囊型成釉细胞瘤的复发风险,其安全性及有效性已受公认。如何评价开窗减压的效果备受关注,目前已有众多研究采用了各种方法评估开窗减压效果和探索最佳的二期刮治时机,但仍未有共识。笔者就近年来开窗减压疗效评价方法的研究进展进行综述。

关键词: 开窗减压术, 疗效, 评价, 颌骨, 囊性病变

Abstract: Decompression has been applied in the primary treatment of large jaw cystic lesions, as the intracystic pressure is released after opening windows in the surface of lesions. Such process has been extensively applied to ensure safety and effectiveness, as it can promote shrinkage, protect adjacent tissues, and possibly reduce the risk of recurrence in the treat-ment of keratocystic odontogenic tumor and unicystic ameloblastoma. Studies that aimed to assess the effectiveness of decompression on large jaw cystic lesions and to determine the time of secondary curettage surgery have been conducted recently. However, no consensus has been made. The paper presents recent studies on evaluation methods on the effectiveness of decompression on large jaw cystic lesions. The literature on the time of secondary curettage surgery is also reviewed.

Key words: decompression, effectiveness, assessment, jaw, cystic lesion

中图分类号: 

  • R739.82
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