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我院近年来收治4例牙源性角化囊肿,现报告如下: 一,临床症状,体征及X线所见(见附表) 二、手术所见: 1.颌骨骨质破坏:均很明显,且未吸收的骨质均有变形,向外膨出。发生于下颌骨的1例角化囊肿下颌体及下颌角骨质均有破坏,舌侧骨板穿破,初次就诊时曾疑为口底囊肿。 2.囊壁:菲薄者2例;瘘管者1例,手术时几乎无囊壁;囊壁较厚者1例,但脆性较大,囊壁剥离时极易破碎。 3.囊液:稀米汤样液体者3例,液中悬浮着凝乳块样片状物,富有粘着性,量多,其中1例有少量脓性液体。1例有瘘管者,囊液较少,有淡黄色粘稠之脓样液体。 4.囊内含牙:囊内含牙,一侧附于骨面上。
In recent years, our hospital admitted to 4 cases of odontogenic keratocysts, are as follows: First, clinical symptoms, signs and X-ray findings (see table) Second, the surgical findings: 1. Jawbone destruction: Obviously, and did not absorb the bone are deformed, outward bulging. Occurred in the mandibular keratocyst in 1 case of mandibular and mandibular angle were destroyed bone, periosteal perforation, the first visit was suspected of mouth cyst. 2. Wall: thin 2 cases; fistula in 1 case, almost no cyst wall surgery; wall thicker in 1 case, but more brittle, easy to break when the wall peeling. 3. Cystic fluid: thin soup-like liquid in 3 cases, the liquid suspension of curd like sample, rich in adhesive, the amount of more, of which 1 case of a small amount of purulent liquid. 1 case of fistula, less cystic fluid, pale yellow viscous pus-like liquid. 4 capsule containing teeth: capsule containing teeth, attached to one side of the bone surface.