本文選題：成釉細(xì)胞瘤　切入點(diǎn)：刮治術(shù)　出處：《寧夏醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的回顧性了解寧夏醫(yī)科大學(xué)總醫(yī)院口腔頜面外科成釉細(xì)胞瘤患者首次手術(shù)治療情況，研究刮治術(shù)及截骨術(shù)應(yīng)用于治療成釉細(xì)胞瘤患者的臨床療效及預(yù)后，探討如何選擇治療成釉細(xì)胞瘤合適的手術(shù)方法，為成釉細(xì)胞瘤治療提供理論依據(jù)和臨床指導(dǎo)。 方法回顧性分析自2005年1月至2013年12月寧夏醫(yī)科大學(xué)總醫(yī)院口腔頜面外科接受手術(shù)治療的成釉細(xì)胞瘤患者67例（男34例，女33例）。通過查閱病例及患者復(fù)診方式收集并分析比較兩組病例的一般資料（包括性別、首次手術(shù)年齡、發(fā)病部位等）、術(shù)后并發(fā)癥（包括面型改變、咀嚼功能、神經(jīng)癥狀、病理性骨折、復(fù)發(fā)情況等）。 結(jié)果67例患者，首次手術(shù)年齡在8歲到73歲之間，平均年齡34.91歲。大部分病變發(fā)生于下頜角及下頜骨升支。刮治術(shù)組術(shù)后面型改變、咀嚼功能滿意度高于截骨術(shù)組。神經(jīng)癥狀及術(shù)后繼發(fā)感染低于截骨術(shù)組。術(shù)后病理性骨折無明顯差異，且刮治術(shù)組與截骨術(shù)組術(shù)后復(fù)發(fā)無明顯差異。 結(jié)論在手術(shù)治療成釉細(xì)胞瘤中，刮治術(shù)組術(shù)后并發(fā)癥少于截骨術(shù)組。手術(shù)中盡可能多的保留下頜骨正常骨質(zhì)，對(duì)患者術(shù)后愈合及生活質(zhì)量有著重要的意義。
[Abstract]:Objective to investigate the first surgical treatment of ameloblastoma in oral and maxillofacial surgery of General Hospital of Ningxia Medical University, and to study the clinical efficacy and prognosis of curettage and osteotomy in the treatment of ameloblastoma. To explore how to select the appropriate surgical treatment for ameloblastoma and to provide theoretical basis and clinical guidance for the treatment of ameloblastoma. Methods from January 2005 to December 2013, 67 patients (34 males) with ameloblastoma received surgical treatment in oral and maxillofacial surgery, General Hospital of Ningxia Medical University, were retrospectively analyzed. The general data of the two groups (including sex, age of the first operation, location of the disease, etc.), postoperative complications (including facial changes, masticatory function, neurological symptoms, etc.) were collected and analyzed. Pathological fracture, recurrence, etc. Results the age of the first operation in 67 patients ranged from 8 to 73 years old, with an average age of 34.91 years. Most of the lesions occurred in the mandibular angle and mandibular ramus. The degree of satisfaction of masticatory function was higher than that of osteotomy group. The neurological symptoms and secondary infection were lower than those of osteotomy group. There was no significant difference in postoperative pathological fracture, and there was no significant difference in postoperative recurrence between curettage group and osteotomy group. Conclusion in the surgical treatment of ameloblastoma, the postoperative complications in the curettage group are less than those in the osteotomy group.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R739.8

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