刮治术与截骨术治疗成釉细胞瘤的回顾性研究

发布时间：2018-03-18 10:29

本文选题：成釉细胞瘤　切入点：刮治术　出处：《宁夏医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的回顾性了解宁夏医科大学总医院口腔颌面外科成釉细胞瘤患者首次手术治疗情况，研究刮治术及截骨术应用于治疗成釉细胞瘤患者的临床疗效及预后，探讨如何选择治疗成釉细胞瘤合适的手术方法，为成釉细胞瘤治疗提供理论依据和临床指导。方法回顾性分析自2005年1月至2013年12月宁夏医科大学总医院口腔颌面外科接受手术治疗的成釉细胞瘤患者67例（男34例，女33例）。通过查阅病例及患者复诊方式收集并分析比较两组病例的一般资料（包括性别、首次手术年龄、发病部位等）、术后并发症（包括面型改变、咀嚼功能、神经症状、病理性骨折、复发情况等）。结果67例患者，首次手术年龄在8岁到73岁之间，平均年龄34.91岁。大部分病变发生于下颌角及下颌骨升支。刮治术组术后面型改变、咀嚼功能满意度高于截骨术组。神经症状及术后继发感染低于截骨术组。术后病理性骨折无明显差异，且刮治术组与截骨术组术后复发无明显差异。结论在手术治疗成釉细胞瘤中，刮治术组术后并发症少于截骨术组。手术中尽可能多的保留下颌骨正常骨质，对患者术后愈合及生活质量有着重要的意义。
[Abstract]:Objective to investigate the first surgical treatment of ameloblastoma in oral and maxillofacial surgery of General Hospital of Ningxia Medical University, and to study the clinical efficacy and prognosis of curettage and osteotomy in the treatment of ameloblastoma. To explore how to select the appropriate surgical treatment for ameloblastoma and to provide theoretical basis and clinical guidance for the treatment of ameloblastoma. Methods from January 2005 to December 2013, 67 patients (34 males) with ameloblastoma received surgical treatment in oral and maxillofacial surgery, General Hospital of Ningxia Medical University, were retrospectively analyzed. The general data of the two groups (including sex, age of the first operation, location of the disease, etc.), postoperative complications (including facial changes, masticatory function, neurological symptoms, etc.) were collected and analyzed. Pathological fracture, recurrence, etc. Results the age of the first operation in 67 patients ranged from 8 to 73 years old, with an average age of 34.91 years. Most of the lesions occurred in the mandibular angle and mandibular ramus. The degree of satisfaction of masticatory function was higher than that of osteotomy group. The neurological symptoms and secondary infection were lower than those of osteotomy group. There was no significant difference in postoperative pathological fracture, and there was no significant difference in postoperative recurrence between curettage group and osteotomy group. Conclusion in the surgical treatment of ameloblastoma, the postoperative complications in the curettage group are less than those in the osteotomy group.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R739.8

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