国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (3): 249-255.doi: 10.7518/gjkq.2017.03.001

• 专家论坛 •    下一篇

牙根尖周区病变的影像学诊断之惑与鉴别之道

黄定明, 甯佳丽, 郑广宁, 周学东   

  1. 口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院 成都 610041
  • 收稿日期:2017-03-02 修回日期:2017-03-11 出版日期:2017-05-01 发布日期:2017-05-01
  • 通讯作者: 周学东,教授,博士,Email:zhouxd@scu.edu.cn
  • 作者简介:黄定明,教授,博士,Email:dingminghuang@163.com
  • 基金资助:

    国家临床重点建设专科基金(2010)

Confusion and differentiation of periapical radiolucent lesions

Huang Dingming, Ning Jiali, Zheng Guangning, Zhou Xuedong.   

  1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2017-03-02 Revised:2017-03-11 Online:2017-05-01 Published:2017-05-01
  • Supported by:

    This study was supported by National Key Clinical Specialist Construction Programs of China(2010).

摘要:

根尖周区病变可能由牙髓源性感染所引起,也可能为非牙髓源性造成。非牙髓源性病变如果出现在牙髓坏死或曾行根管治疗的患牙根尖周时,很可能导致误诊误治甚至耽误病情。本文对可能出现在牙齿根尖周区透射影病变的影像诊断及其鉴别诊断进行了系统总结,为临床诊治提供参考。

关键词: 根尖周区病变, 非牙髓源性病变, 诊断

Abstract:

Periapical lesions can be of endodontic or nonendodontic origin. Especially when nonendodontic periapical lesions are associated with teeth with pulp necrosis or that were previously treated endodontically, it may lead to misdiagnosis and an ineffective therapeutic protocol. This article summarizes the imaging diagnosis and differentiation of the periapical radiolucent lesions, and provides reference for clinical diagnosis and treatment.

Key words: periapical lesions, nonendodontic lesions, diagnosis

中图分类号: 

  • R781.05

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