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目的探讨开窗减压术治疗颌骨巨大囊性病变的临床应用价值。方法对2009年5月至2010年11月南方医科大学附属南海医院口腔科收治的8例颌骨囊性病变患者(包括1例根尖囊肿,1例含牙囊肿、5例角化囊肿、1例囊性成釉细胞瘤),经口内进行开窗减压,术后定期复诊,3个月复查曲面断层摄影,1年进行三维CT重建,测量术后囊腔缩小情况。结果 8例患者,最长的已观察18个月,最短的观察3个月,2例患者(包括1例根尖囊肿、1例成釉细胞瘤)囊腔完全消失,6例患者囊腔越来越缩小。结论开窗减压术是一种简便、经济、效果良好的治疗颌骨囊性病变的方法。
Objective To investigate the clinical value of fenestration decompression in the treatment of giant cystic lesions of the jaw. Methods From May 2009 to November 2010, 8 patients with cystic lesions of the jaw (including 1 apical cyst, 1 cyst containing cyst, 5 keratocyst, 1 cyst and 1 cyst in the Department of Stomatology, Nanhai Hospital Affiliated to Southern Medical University, Cases of cystic ameloblastoma), intra-oral fenestration decompression, regular postoperative follow-up, 3-month review of the surface tomography, 1 year three-dimensional CT reconstruction, measurement of postoperative cystic cavity reduction. Results Eight patients, the longest observed 18 months, the shortest observed 3 months, 2 patients (including 1 cases of apical cysts, 1 case of ameloblastoma) completely disappeared cysts, 6 cases of cysts To the more narrow. Conclusions Window decompression is a simple, economical and effective method for the treatment of cystic lesions of the jaw.