内镜辅助下颌骨囊肿精准微创治疗的应用效果评价

doi:10.19439/j.sjos.2025.05.015

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (5): 535-539.doi: 10.19439/j.sjos.2025.05.015

内镜辅助下颌骨囊肿精准微创治疗的应用效果评价

万成傲, 王泽宇, 杜崇利, 王瀚英, 郭振飞, 韩瑞, 高廷益, 张凯

蚌埠医科大学第一附属医院口腔科,安徽蚌埠 233000

收稿日期:2024-09-18 修回日期:2024-10-28 出版日期:2025-10-25 发布日期:2025-10-31
通讯作者: 张凯,E-mail: zk29788@163.com
作者简介:万成傲（1999-）,男,在读硕士研究生,E-mail: 913783723@qq.com
基金资助:
2021年高校学科（专业）拔尖人才学术资助项目（gxbjZD2021058）

Evaluation of endoscopy-assisted precision minimally invasive treatment of mandibular bone cyst

Wan Cheng'ao, Wang Zeyu, Du Chongli, Wang Hanying, Guo Zhenfei, Han Rui, Gao Tingyi, Zhang Kai

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

Received:2024-09-18 Revised:2024-10-28 Online:2025-10-25 Published:2025-10-31

摘要/Abstract

摘要： 目的:探讨内镜辅助下颌骨囊肿刮治的临床效果。方法:选择2021年9月—2023年7月于蚌埠医科大学第一附属医院就诊的下颌骨囊肿患者80例,根据治疗方法分为试验组（43例）和对照组（37例）。试验组采用内镜辅助囊肿刮治并进行二次检查,对照组采用传统囊肿刮治手术。记录两组手术时间、术后反应、病理性骨折、神经损伤及复发情况。结果:试验组手术时间为（50.11±4.65） min,显著高于对照组的（44.89±4.38） min（P<0.05）。术后第2天及第7天,试验组肿胀程度和VAS疼痛评分均显著低于对照组（P<0.05）。两组患者均未出现病理性骨折,试验组出现1例神经损伤,术后第3个月恢复,且在1年随访中未见复发患者;对照组出现3例神经损伤,患者均于术后3~6个月内恢复,2例患者复查期间发现复发。结论:应用内镜辅助下颌骨囊肿刮治,具有手术视野良好、降低损伤和减少复发等优点,能够提高手术精确性与安全性,值得临床推广应用。

关键词: 内镜, 下颌骨囊肿, 牙源性颌骨囊肿, 刮治术

Abstract: PURPOSE: To investigate the clinical effect of endoscopy-assisted curettage of mandibular bone cyst. METHODS: A total of 80 patients with mandibular bone cyst treated in the First Affiliated Hospital of Bengbu Medical University from September 2021 to July 2023 were selected and divided into experimental group (n=43) and control group (n=37) according to treatment methods. The observation group was treated with endoscopy-assisted cyst curettage and secondary examination, while the control group was treated with traditional cyst curettage. The operation time, postoperative reaction, pathological fracture, nerve injury and recurrence were recorded in the two groups. RESULTS: The operation time of the experimental group was (50.11±4.65) min, which was significantly longer than (44.89±4.38) min of the control group (P<0.05). The degree of swelling and VAS pain scores in the experimental group were significantly lower than those in the control group on the 2nd and 7th days after operation (P<0.05). There was no pathological fracture in the two groups. There was 1 case of nerve injury in the experimental group, which recovered 3 months after operation, and no recurrence was found in the 1-year follow-up. There were 3 cases of nerve injury in the control group, and all of them recovered within 3 to 6 months after operation. Two patients had recurrence during revisit. CONCLUSIONS: Endoscopy-assisted curettage of mandibular bone cysts has the advantages of good surgical field, reducing injury and recurrence, and can improve the accuracy and safety of surgery, which is worthy of clinical application.

Key words: Endoscope, Mandibular bone cyst, Odontogenic jaw cyst, Curettage

中图分类号:

R739.8

万成傲, 王泽宇, 杜崇利, 王瀚英, 郭振飞, 韩瑞, 高廷益, 张凯. 内镜辅助下颌骨囊肿精准微创治疗的应用效果评价[J]. 上海口腔医学, 2025, 34(5): 535-539.

Wan Cheng'ao, Wang Zeyu, Du Chongli, Wang Hanying, Guo Zhenfei, Han Rui, Gao Tingyi, Zhang Kai. Evaluation of endoscopy-assisted precision minimally invasive treatment of mandibular bone cyst[J]. Shanghai Journal of Stomatology, 2025, 34(5): 535-539.

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内镜辅助下颌骨囊肿精准微创治疗的应用效果评价

Evaluation of endoscopy-assisted precision minimally invasive treatment of mandibular bone cyst

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