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目的对上颌骨后牙区牙源性角化囊性瘤的诊治进行分析。方法选择病理为上颌骨后牙区牙源性角化囊性瘤患者30例,均行刮除手术治疗;术后随访观察治疗效果。结果牙源性角化囊性瘤患者临床表现不一,受累牙齿有/无松动,影像学上呈单囊或多囊性阴影,含或不含阻生齿或多生牙,上颌窦底受累情况不同;随访期间复发5例,上颌窦瘘2例。结论注意上颌骨后牙区解剖结构的特殊性,防止漏诊、误诊以及选择恰当的治疗方法。
Objective To analyze the diagnosis and treatment of odontogenic keratocystic tumors in the posterior teeth of the maxilla. Methods Thirty patients with odontogenic keratocystic tumors of the maxillary posterior teeth were selected and treated with curettage. The follow-up results were observed. Results The patients with odontogenic keratocystic tumors had different clinical manifestations, with or without loose teeth, single or multiple cystic shadows on imaging, with or without impacted teeth or multiple teeth, maxillary sinus involvement Different conditions; 5 cases of recurrence during follow-up, 2 cases of maxillary sinus fistula. Conclusion pay attention to the particularity of the anatomy of the posterior teeth of the maxilla to prevent missed diagnosis, misdiagnosis and choose the appropriate treatment.