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目的:探讨下颌骨囊性病变的治疗方法并评价其疗效。方法:对2006～2009年收治的74例下颌骨囊性病变病例资料进行综合分析。结果:68例直径小于3.5cm的颌骨囊性病变一次性手术刮除。6例大于3.5 cm的病灶一期行手术开窗减压引流,二期再刮除病灶。术后伤口均一期愈合,无复发。结论:下颌骨囊性病变采用手术治疗,对于较大的病灶,可采用分次手术,以保持下颌骨的连续性,消除颜面部的畸形,尤其对年龄较小的病例,能促进所累及的恒牙正常萌出。
Objective: To investigate the treatment of mandibular cystic lesions and evaluate its curative effect. Methods: The data of 74 cases of mandibular cystic lesions admitted from 2006 to 2009 were analyzed comprehensively. Results: 68 cases of cystic lesions less than 3.5cm in diameter were treated by one-time surgery. Six cases of lesions larger than 3.5 cm underwent surgery for fenestration decompression and drainage, and second curettage lesions. The wounds were healed in one time without relapse. Conclusion: Surgical treatment of cystic lesions of the mandible, for larger lesions, can be divided into operations in order to maintain the continuity of the mandible and eliminate facial deformities, especially in younger cases, can promote the involvement of Permanent teeth eruption.