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目的评价低温等离子消融术联合袋形术治疗下颌骨牙源性角化囊性瘤的疗效。方法回顾2008年6月至2010年6月8例经低温等离子消融术联合袋形术治疗的下颌骨大型角化囊性瘤病例。随访1～1.5年临床、影像学及病理学检查评价临床疗效及随访观察复发情况。结果病理学显示消融术后囊壁衬里上皮破坏、消失。临床及影像学检查显示,囊肿周围骨质再生改建,囊腔逐渐缩小。本组资料随访期间未见复发。结论低温等离子消融术联合袋形术是治疗下颌骨牙源性角化囊性瘤的有效方法。
Objective To evaluate the efficacy of low temperature plasma ablation combined with pouch surgery for the treatment of mandibular odontogenic keratocystic tumors. Methods From June 2008 to June 2010, 8 cases of maxillofacial cystadenoma of mandible treated with low temperature plasma ablation combined with pouch surgery were retrospectively reviewed. Follow-up 1 ~ 1.5 years of clinical, imaging and pathological examination to evaluate the clinical efficacy and follow-up observation of recurrence. Results Pathology showed destruction of the lining of the lining of the wall after ablation and disappearance. Clinical and imaging studies showed that the regeneration of the bone around the cyst, cystic cavity gradually reduced. No recurrence in this group during follow-up. Conclusion Low-temperature plasma ablation combined with pouch surgery is an effective method for the treatment of odontogenic keratocystic tumors of the mandible.