颌骨囊肿开窗治疗临床特征动态研究

doi:10.19439/j.sjos.2021.06.019

上海口腔医学 ›› 2021, Vol. 30 ›› Issue (6): 658-662.doi: 10.19439/j.sjos.2021.06.019

颌骨囊肿开窗治疗临床特征动态研究

杜悦, 彭笑, 韩瑞, 王栋, 胡洁, 高廷益, 张凯

蚌埠医学院第一附属医院口腔科,安徽蚌埠 233000

收稿日期:2021-02-23 修回日期:2021-05-20 发布日期:2022-03-09
通讯作者: 张凯,E-mail:zk29788@163.com
作者简介:杜悦（1996-）,女,硕士,E-mail：814802507@qq.com
基金资助:
蚌埠医学院科研创新计划（Byycxz20038）; 2021高校学科拔尖人才学术资助项目（gxbjZD2021058）

Clinical dynamic study of jaw cyst after decompression

DU Yue, PENG Xiao, HAN Rui, WANG Dong, HU Jie, GAO Ting-yi, ZHANG Kai

Department of Stomatology, First Affiliated Hospital of Bengbu Medical College. Bengbu 233000, Anhui Province, China

Received:2021-02-23 Revised:2021-05-20 Published:2022-03-09

摘要/Abstract

摘要： 目的: 观察下颌骨牙源性颌骨囊肿开窗减压后囊腔动态变化特征,探讨颌骨囊肿开窗减压治疗规律。方法: 收集2017年6月—2019年6月收治的下颌骨牙源性囊肿行开窗减压术的患者资料,采用回顾性分析,依据术前及术后拍摄的锥形束CT(CBCT),通过E3D建模软件三维重建,分析囊腔收缩方向、收缩速度及与年龄、时间的关系。采用SPSS 21.0软件包对数据进行统计学分析。结果: 下颌骨囊腔多沿最大直径轴向收缩,开窗后囊腔收缩呈椭圆状,囊腔收缩速度从小到大依次为角化囊肿、根尖囊肿、含牙囊肿。收缩速度与时间和年龄呈负相关;开窗12个月后,囊腔收缩速度明显减缓。结论: 开窗减压术治疗下颌骨牙源性囊肿的效果与时间、年龄和病理类型相关,建议根据囊腔变化特点,适时予以相应处理。

关键词: 牙源性颌骨囊肿, 锥形束CT, 开窗减压术, E3D

Abstract: PURPOSE: To observe the dynamic characteristics of odontogenic mandibular cyst after decompression, and analyze the treatment results. METHODS: Data of patients with odontogenic cyst of mandible confirmed in our hospital from June 2017 to June 2019 who underwent decompression were collected, and analyzed retrospectively. Cone-beam CT(CBCT) were taken before and after operation. Three-dimensional reconstruction was conducted using E3D modeling software. The contraction direction of the cyst cavity, contraction speed of the cyst cavity and its relationship with age and time were analyzed with SPSS 21.0 software package. RESULTS: The cysts of the mandibular body mostly contracted with the largest diameter as the axis. After decompression, the cystic cavity contracted in an elliptical shape. The contraction rate of cystic cavity from small to large was as followed: odontogenic keratocysts, apical cyst, and dentigerous cyst. The contraction speed was negatively correlated with time and age, and the contraction speed slowed down significantly after 12 months. CONCLUSIONS: The effect of fenestration decompression in the treatment of mandibular odontogenic cysts is related to time, age and pathological type. It is recommended to deal with in a timely manner according to the characteristics of the cyst changes.

Key words: Odontogenic cysts, Cone-beam CT, Decompression, E3D

中图分类号:

R739.8

杜悦, 彭笑, 韩瑞, 王栋, 胡洁, 高廷益, 张凯. 颌骨囊肿开窗治疗临床特征动态研究[J]. 上海口腔医学, 2021, 30(6): 658-662.

DU Yue, PENG Xiao, HAN Rui, WANG Dong, HU Jie, GAO Ting-yi, ZHANG Kai. Clinical dynamic study of jaw cyst after decompression[J]. Shanghai Journal of Stomatology, 2021, 30(6): 658-662.

参考文献

[1] Asutay F, Atalay Y, Turamanlar O, et al.Three-dimensional volumetric assessment of the effect of decompression on large mandibular odontogenic cystic lesions[J].J Oral Maxillofac Surg, 2016, 74(6): 1159-1166.
[2] 王彬, 徐镭, 孙秋望月, 等. 开窗减压术治疗下颌骨牙源性囊肿的临床和影像学研究[J].南京医科大学学报(自然科学版), 2018, 38(5): 653-657.
[3] 庞亚倩,张凯,刘亮,等.下颌骨囊性病变的三维有限元模型生物力学分析[J].南方医科大学学报, 2020, 40(6): 911-915.
[4] 江穗, 朱李军, 陈仲伟, 等. 156例牙源性颌骨囊肿临床分析[J].中山大学学报(医学科学版), 2008, 29(S1): 136-138.
[5] Marin S, Kirnbauer B, Rugani P, et al.The effectiveness of decompression as initial treatment for jaw cysts: a 10-year retrospective study[J]. Med Oral Patol Oral Cir Bucal, 2019, 24(1): e47-e52.
[6] 邓书海, 钟凡, 赵继刚, 等. 颌骨巨大囊性病变开窗减压术8例临床观察[J].中国实用口腔科杂志, 2011, 4(2): 98-100.
[7] Rajendra Santosh AB.Odontogenic cysts[J]. Dent Clin North Am, 2020, 64(1): 105-119.
[8] Nasseh I, Al-Rawi W.Cone beam computed tomography[J]. Dent Clin North Am, 2018, 62(3): 361-391.
[9] Lara-Mendes STO, Barbosa CFM, Santa-Rosa CC, et al.Guided endodontic access in maxillary molars using cone-beam computed tomography and computer-aided design/computer-aided Manufacturing system: a case report[J]. J Endod, 2018, 44(5): 875-879.
[10] Gao L, Wang XL, Li SM, et al.Decompression as a treatment for odontogenic cystic lesions of the jaw[J]. J Oral Maxillofac Surg, 2014, 72(2): 327-333.
[11] 殷学民,任晓旭,吕晓智,等.开窗术后负压引流治疗大型牙源性颌骨囊肿的临床总结[J].南方医科大学学报, 2012, 32(3): 409-411.
[12] Thompson L.World Health Organization classification of tumours: pathology and genetics of head and neck tumours[J]. Ear Nose Throat J, 2006,85(2): 74-74.
[13] Song IS, Park HS, Seo BM,et al.Effect of decompression on cystic lesions of the mandible: 3-dimensional volumetric analysis[J]. Br J Oral Maxillofac Surg, 2015, 53(9): 841-848.
[14] Buchbender M, Neukam FW, Lutz R,et al.Treatment of enucleated odontogenic jaw cysts: a systematic review[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2018, 125(5): 399-406.
[15] 章茜,杨旭东.颌骨囊性病变开窗减压术疗效评价方法的研究进展[J]. 国际口腔医学杂志, 2017, 44(4): 493-496.
[16] Bodner L, Bar-Ziv J.Characteristics of bone formation following marsupialization of jaw cysts[J]. Dentomaxillofac Radiol, 1998, 27(3): 166-171.
[17] Oftadeh R, Perez-Viloria M, Villa-Camacho JC, et al.Biomechanics and mechanobiology of trabecular bone: a review[J]. J Biomech Eng, 2015, 137(1): 0108021-01080215.
[18] Man QW, Zhong WQ, Ren JG, et al.Increased level of cell-derived microparticles in the cyst fluids of odontogenic keratocysts[J]. Int J Oncol, 2018, 52(6): 1863-1874.
[19] 王彦瑾,谢晓艳,洪瑛瑛,等.844例牙源性角化囊肿的临床病理学分析[J].北京大学学报(医学版), 2020, 52(1): 41-48.
[20] 袁韵仪,段余峰,雷勇华.含牙囊肿埋伏牙行开窗减压术后的萌出预测[J]. 国际口腔医学杂志, 2018, 45(3): 362-367.
[21] Bassetti MA, Kuttenberger J, Novak J, et al.The dentigerous cyst: two different treatment options illustrated by two cases[J]. Swiss Dent J, 2019, 129(3): 193-203.
[22] Kubota Y, Imajo I, Itonaga R,et al.Effects of the patient's age and the size of the primary lesion on the speed of shrinkage after marsupialisation of keratocystic odontogenic tumours, dentigerous cysts, and radicular cysts[J]. Br J Oral Maxillofac Surg, 2013, 51(4): 358-362.
[23] Park HS, Song IS, Seo BM, et al.The effectiveness of decompression for patients with dentigerous cysts, keratocystic odontogenic tumors, and unicystic ameloblastoma[J]. J Korean Assoc Oral Maxillofac Surg, 2014, 40(6): 260-265.
[24] Anavi Y, Gal G, Miron H, et al.Decompression of odontogenic cystic lesions: clinical long-term study of 73 cases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011,112(2): 164-169.

颌骨囊肿开窗治疗临床特征动态研究

Clinical dynamic study of jaw cyst after decompression

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	李苏娜, 宋文尚, 刘子略, 杜月茹, 蔡世新. 义齿咬合板联合综合物理疗法对颞下颌关节盘不可复性前移位的疗效评价[J]. 上海口腔医学, 2024, 33(3): 273-278.
[2]	彭源浩, 庄昕仪, 喻婷, 吕冬梅, 温秀杰, 程钎. 青少年颧牙槽嵴区皮质骨厚度的锥形束CT测量及其与颈椎骨龄的相关性研究[J]. 上海口腔医学, 2023, 32(6): 623-629.
[3]	黄仲敏, 张赟, 李小兵. 替牙列早期上颌慢速扩弓对上颌中段牙及牙槽嵴的影响[J]. 上海口腔医学, 2023, 32(5): 501-507.
[4]	李贵宏, 谢思静, 林梓桐, 张婷, 汤旭娜, 胡勤刚. 下颌第二磨牙C形根管治疗前后根管壁厚度测量分析[J]. 上海口腔医学, 2023, 32(4): 395-400.
[5]	王文丽, 傅亚婷, 刘华, 马潇. 上颌前牙美学区牙龈三维形态的锥形束CT测量分析[J]. 上海口腔医学, 2023, 32(2): 177-182.
[6]	张薇, 陈威, 陈志方. 可调式活动牵引器治疗上颌唇侧倒置阻生中切牙效果评价[J]. 上海口腔医学, 2023, 32(2): 193-197.
[7]	宋珏, 刘好好, 刘嘉靓, 陈美华. 上颌磨牙与上颌窦黏膜增厚发生的相关性分析[J]. 上海口腔医学, 2022, 31(6): 638-642.
[8]	吕云松, 李朝晖. 颞下颌关节紊乱综合征伴偏侧咀嚼患者锥形束CT特征分析[J]. 上海口腔医学, 2022, 31(6): 653-656.
[9]	周子芊, 陈振琦. 上颌窦底对上颌第一磨牙近中移动的影响[J]. 上海口腔医学, 2022, 31(6): 661-667.
[10]	林翔, 傅裕杰, 任根强, 温佳欢, 陈宇飞, 张旗. U-Net神经网络分割锥形束CT影像中下颌磨牙牙体与牙髓腔及其准确性验证[J]. 上海口腔医学, 2022, 31(5): 454-459.
[11]	马智菲, 周梦琪, 王丽珍, 承清, 洪瑾. Er:YAG 激光在小型猪牙髓血运重建术中的应用效果评价[J]. 上海口腔医学, 2022, 31(4): 367-373.
[12]	黄锦程, 赵华强, 李国菊. Stafne骨腔影像学特征：基于CBCT的回顾性分析[J]. 上海口腔医学, 2022, 31(4): 439-444.
[13]	林怡君, 鄢洁雅, 王天鸽, 周志捷, 廖盛轩, 毛丽霞, 刘加强. 减数正畸治疗中中切牙牙根及牙槽骨形态变化的锥形束CT测量分析[J]. 上海口腔医学, 2022, 31(2): 211-216.
[14]	罗号, 袁壮, 吴开柳, 贺捷, 孟箭. 92例上颌骨成釉细胞瘤不同手术方式的效果评价[J]. 上海口腔医学, 2022, 31(1): 71-74.
[15]	马晓晴, 赵宁, 董晛, 钱文昊. 2种锥形束CT转化头颅侧位片的定点一致性探讨[J]. 上海口腔医学, 2021, 30(5): 522-525.