108例颌骨成釉细胞瘤临床分析

发布时间：2019-04-27 17:07

【摘要】：目的:回顾108例成釉细胞瘤的发病年龄、性别、部位、病理类型、手术方式及预后,探讨其内在联系。方法:108例患者按年龄分为7组,分析各年龄段成釉细胞瘤的发生比例、发病部位、病理类型以及复发率;探讨成釉细胞瘤各病理类型与发病部位及复发率的关系;分析手术方式和复发率的关系。结果:108例患者中,20~39岁占56.48%;男性略多于女性;下颌骨发生比例为81.48%;滤泡型占45.37%、丛状型占62.96%。108例患者平均复发率为32.41%,50岁以上者更高;65例患者刮治术后复发率为43.08%,而43例患者根治术后复发率为16.28%;各病理类型复发率分析,滤泡型为34.69%,丛状型为26.47%,棘皮瘤型和颗粒细胞型各为28.57%。结论:成釉细胞瘤以男性青壮年好发,多见于下颌骨磨牙区、下颌支及下颌角部;滤泡型和丛状型为最常见的病理类型,滤泡型较易复发;与刮治术相比,根治性手术可降低复发率。
[Abstract]:Aim: to review the age, sex, location, pathological type, surgical method and prognosis of 108 cases of ameloblastoma. Methods: 108 cases of ameloblastoma were divided into 7 groups according to their age, and the rate of occurrence, location, pathological type and recurrence rate of ameloblastoma were analyzed, and the relationship between the pathological types of ameloblastoma and the location and recurrence rate of ameloblastoma was discussed. The relationship between operation mode and recurrence rate was analyzed. Results: of the 108 patients, 56.48% were 20 years old, slightly more male than female, 81.48% were mandible. The average recurrence rate of 108 patients was 32.41%, especially in those over 50 years old, the recurrence rate was 43.08% in 65 cases after curettage, and 16.28% in 43 cases after radical operation, while the recurrence rate of follicular type was 45.37% and that of cluster type was 62.96%, the average recurrence rate of 108 cases was 32.41%, and that of patients over 50 years old was higher. The recurrence rates were 34.69% for follicular type 26.47% for cluster type 28.57% for acanthoma and 28.57% for granulosa cell type respectively. Conclusion: ameloblastoma is the most common pathological type of ameloblastoma in male adults, especially in mandibular molar area, mandibular branch and mandibular angle, follicular type and clump type are the most common pathological types, follicular type is easy to recur, and follicular type is the most common type of ameloblastoma. Compared with curettage, radical surgery can reduce the recurrence rate.
【作者单位】：泰州职业技术学院医学技术学院;泰州市人民医院口腔科;靖江市人民医院口腔科;
【分类号】：R739.8

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