颌骨含牙囊肿的分类治疗
Selection of treatment on dentigerous cysts
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摘要: 目的: 探讨含牙囊肿的临床分类,减少治疗过程中对囊肿邻近器官及解剖结构的损伤。方法: 总结46例含牙囊肿病例,分析囊肿对邻近器官及解剖结构的影响。结果: Ⅰ类含牙囊肿11例,Ⅰ类1亚类5例,Ⅱ类1例、Ⅲ类27例、Ⅳ类2例。囊肿剜除术者41例,囊肿剜除术加上颌窦根治术术者9例,开窗引流术者5例。结论: 根据含牙囊肿累及的部位及对邻近结构的影响进行分类,选择不同的治疗方式,以减少对囊肿邻近的正常结构的损伤。Abstract: Objective: In order to preserve the cyst adjacent normal tissue, and to obtain satisfied results for dentigerous cysts. Methods: 46 cases of dentigerous cysts were selected. We analyzed the position of these cysts, their adjacent normal structures and normal erupted teeth.Results: In these cases there are type Ⅰ11 cases, type sub-Ⅰ5 cases, typeⅡ1 case, type Ⅲ 27 cases and type Ⅳ 2 cases. 41 cases were treated in enucleation, 9 of these cases were treated in enucleation and radical maxillary sinusotomy.5 cases were treated in decompression. Conclusion: By the location and the affection to adjacent normal structures, we classify dentigerous cyst four types. So we can treat them by different methods.
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