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目的探讨开窗术与口内小切口刮除囊肿后填充硫酸钙联合治疗颌骨囊肿的疗效和术后评价,寻求微创治疗青少年中大型颌骨囊肿的方法。方法从安徽医科大学附属口腔医院2010年5月至2011年12月收治的青少年患者中,选取中大型颌骨囊肿10例,开窗6个月至2年不等,之后均采取口内小切口刮除囊肿及填充医用硫酸钙。结果无一例出现感染及其他并发症。开窗待囊肿明显缩小后,行囊肿刮除及硫酸钙充填术;术后6个月颌骨曲面断层片显示原囊腔低密度影像基本消失,新骨形成,与正常骨组织无明显差别。对于开窗后囊肿自行痊愈的患者选择随访。结论对于中大型颌骨囊肿,采用开窗术及二期囊肿刮除后填充医用硫酸钙联合治疗可以更好地修复骨缺损,减少患者的痛苦和并发症,是一种理想的治疗方法。
Objective To investigate the efficacy and postoperative evaluation of fenestration combined with small incision in the mouth for the treatment of maxillary cysts after removal of the cyst with calcium sulfate. Methods From adolescent patients admitted to Affiliated Stomatological Hospital of Anhui Medical University from May 2010 to December 2011, 10 cases of medium and large jaw cysts were selected, and the fenestration was performed for 6 months to 2 years. Small intraoral incision In addition to cysts and filling medical calcium sulfate. None of the results showed infection and other complications. After the opening of the window, the cyst was obviously reduced and the curettage and calcium sulfate filling were performed. At 6 months after operation, the low-density image of the original cystic cavity disappeared and the formation of new bone did not show any significant difference from the normal bone. Follow-up was performed on patients who self-recovered after fenestration. Conclusion For the large and medium-sized jaw cysts, the use of fenestration and second-stage cyst curettage combined with medical calcium sulfate can better repair the bone defects and reduce the patient’s pain and complications, which is an ideal treatment.