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下颌智齿冠周炎,多在青年发病,是部队常见病之一。严重者可并发颌周间隙感染,甚至发生骨髓炎。此种骨髓炎多发生在下颌升支部,其感染途径、临床表现、诊断、治疗等方面都有其特征。现将我们近几年来收治的14例加以介绍与讨论。一、临床资料本组病例男性13人,女性1人。年龄:20~25岁7人,26~33岁7人。发病时间:一年以上者3人,5个月以上者6人,1~3个月者5人。入院时体温升高者仅2例,白细胞总数超过10,000者5例。右侧患病5例,左侧9例。入院时开口度:0.3厘米者3例,0.5厘米者2例,1~2厘米者7例,2.5厘米者2例。X线摄影发现病变者10例。但骨髓炎的诊断都经手术证实。3次手术者1例,2次手术者3例。住院日:短者12天,最长者98天,一般在一个月左右。因复发2次住院者2例。二、治疗方法和结果本组病例均以外科手术治疗为主,即病灶清除
Jaws wisdom pericoronitis, mostly in the incidence of youth, is one of the troops common disease. Serious cases can be complicated by jaw gap infection, and even osteomyelitis. Such osteomyelitis occurred in the mandibular ascending branch, its infection, clinical manifestations, diagnosis, treatment and other aspects have their own characteristics. Now we have admitted in recent years, 14 cases were introduced and discussed. First, the clinical data of this group of 13 males and 1 females. Age: 20 ~ 25 years old 7 people, 26 ~ 33 years old 7 people. Time of onset: one year more than 3 people, 5 more than 6 months, 1 to 3 months were 5 people. Only two cases of elevated body temperature at admission, white blood cells in more than 10,000 in 5 cases. Right sick in 5 cases, left in 9 cases. Open degree of admission: 0.3 cm in 3 cases, 0.5 cm in 2 cases, 1 to 2 cm in 7 cases, 2.5 cm in 2 cases. X-ray photography found 10 cases of lesions. However, the diagnosis of osteomyelitis have been confirmed by surgery. 1 case of 3 surgeries and 3 cases of 2 surgeries. Inpatient days: a short 12 days, the longest 98 days, usually in about a month. Two cases of hospitalization due to relapse in 2 cases. Second, the treatment and results of this group of patients are mainly surgical treatment, that is clear lesions