16例牙齦瘤手術(shù)切除及愈合修復(fù)的臨床體會(huì)
發(fā)布時(shí)間：2018-08-04 17:29
【摘要】：目的：本文以病例報(bào)告的形式，探討牙齦瘤的病理分型、臨床特點(diǎn)、手術(shù)方法及愈合修復(fù)的臨床體會(huì)。 方法：收集臨床病例診斷為牙齦瘤的患者16例，其中15例為首發(fā)，1例為復(fù)發(fā)后首診。所有患者經(jīng)局部齦上、齦下潔刮治、根面平整術(shù)一周后，局麻下手術(shù)切除，手術(shù)按牙齦瘤的大小及生長(zhǎng)位置分為單純瘤體切除和瘤體切除結(jié)合結(jié)締組織瓣修復(fù)，后者術(shù)中為覆蓋創(chuàng)面所采用的結(jié)締組織瓣包括：鄰接組織單側(cè)或雙側(cè)半厚瓣滑行移位修復(fù)、根向復(fù)位及游離齦瓣復(fù)位。組織切除后送檢病理，按病理分型分成纖維性齦瘤、血管性齦瘤、巨細(xì)胞性齦瘤三組。術(shù)后一周，觀察手術(shù)創(chuàng)面愈合情況，有無術(shù)后疼痛及腫脹等并發(fā)癥，牙齦緣位置是否穩(wěn)定，有無退縮，牙齦的顏色形態(tài)是否恢復(fù)正常及牙周組織愈合效果等。遠(yuǎn)期觀察復(fù)發(fā)率。 結(jié)果：16例患者中，纖維性齦瘤9例（56.2%），血管性齦瘤6例（37.5%），，外周巨細(xì)胞性齦瘤1例（6.25%）。術(shù)后對(duì)16例牙齦瘤患者進(jìn)行6~18個(gè)月的隨訪，無1例復(fù)發(fā)。術(shù)區(qū)創(chuàng)面愈合良好，牙齦緣位置穩(wěn)定，牙齦的色澤和外形恢復(fù)正常，無明顯的疼痛、腫脹及瘢痕等并發(fā)癥。 結(jié)論：牙齦瘤有三種病理分型，每種病理分型有其各自的臨床表現(xiàn)及組織學(xué)特點(diǎn)，病理分型與復(fù)發(fā)率之間無明顯相關(guān)性。牙齦瘤的治療原則是徹底切除瘤體、去除局部刺激因素及防止復(fù)發(fā)。手術(shù)方法因能對(duì)術(shù)區(qū)進(jìn)行結(jié)締組織瓣修復(fù)且術(shù)后創(chuàng)面愈合良好，膜齦位置穩(wěn)定，并發(fā)癥少，是治療牙齦瘤的合理方法之一。
[Abstract]:Objective: to study the pathological classification, clinical features, surgical methods and healing and repair of gingival tumor in the form of case report. Methods: 16 cases of gingival tumor were collected, of which 15 cases were first diagnosed after recurrence. All the patients were treated by local supragingival, subgingival cleaning and curettage. One week after root surface leveling, local anesthesia was performed. The operation was divided into simple tumor resection and tumor resection combined with connective tissue flap according to the size and growth location of gingival tumor. The connective tissue flap used to cover the wound in the latter operation included: unilateral or bilateral half-thick flap sliding repair, root reduction and free gingival flap reduction. Histopathological examination was performed and divided into three groups: fibrous gingival tumor, vascular gingival tumor and giant cell gingival tumor. One week after operation, the healing of surgical wound was observed, whether there were complications such as pain and swelling after operation, whether the position of gingival margin was stable, whether there was withdrawal, whether the color shape of gingiva returned to normal, and whether the effect of periodontal tissue healing was observed. Long-term observation of recurrence rate. Results among the 16 cases, 9 cases (56.2%) were fibroplastic gingival tumor, 6 cases (37.5%) were vascular gingival tumor, 1 case (6.25%) was peripheral giant cell gingival tumor. 16 cases of gingival tumor were followed up for 6 ~ 18 months, none of them recurred. The wound healed well, the position of gingival margin was stable, the color and appearance of gingival returned to normal, and there was no obvious pain, swelling, scar and other complications. Conclusion: there are three types of gingival neoplasms, each of which has its own clinical and histological features, and there is no significant correlation between pathological classification and recurrence rate. The treatment principle of gingival tumor is to remove local irritation factors and prevent recurrence. The operative method is one of the reasonable methods for the treatment of gingival tumor because it can be repaired by connective tissue flap and the wound healing is good the position of membranous gingiva is stable and the complications are few.
【學(xué)位授予單位】：大連醫(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
本文編號(hào)：2164592
[Abstract]:Objective: to study the pathological classification, clinical features, surgical methods and healing and repair of gingival tumor in the form of case report. Methods: 16 cases of gingival tumor were collected, of which 15 cases were first diagnosed after recurrence. All the patients were treated by local supragingival, subgingival cleaning and curettage. One week after root surface leveling, local anesthesia was performed. The operation was divided into simple tumor resection and tumor resection combined with connective tissue flap according to the size and growth location of gingival tumor. The connective tissue flap used to cover the wound in the latter operation included: unilateral or bilateral half-thick flap sliding repair, root reduction and free gingival flap reduction. Histopathological examination was performed and divided into three groups: fibrous gingival tumor, vascular gingival tumor and giant cell gingival tumor. One week after operation, the healing of surgical wound was observed, whether there were complications such as pain and swelling after operation, whether the position of gingival margin was stable, whether there was withdrawal, whether the color shape of gingiva returned to normal, and whether the effect of periodontal tissue healing was observed. Long-term observation of recurrence rate. Results among the 16 cases, 9 cases (56.2%) were fibroplastic gingival tumor, 6 cases (37.5%) were vascular gingival tumor, 1 case (6.25%) was peripheral giant cell gingival tumor. 16 cases of gingival tumor were followed up for 6 ~ 18 months, none of them recurred. The wound healed well, the position of gingival margin was stable, the color and appearance of gingival returned to normal, and there was no obvious pain, swelling, scar and other complications. Conclusion: there are three types of gingival neoplasms, each of which has its own clinical and histological features, and there is no significant correlation between pathological classification and recurrence rate. The treatment principle of gingival tumor is to remove local irritation factors and prevent recurrence. The operative method is one of the reasonable methods for the treatment of gingival tumor because it can be repaired by connective tissue flap and the wound healing is good the position of membranous gingiva is stable and the complications are few.
【學(xué)位授予單位】：大連醫(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
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 施捷,周彥恒,傅民魁;牙周炎致錯(cuò)位前牙正畸牙周聯(lián)合治療的CT研究[J];北京大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2003年06期
2 張德清;魏婷婷;李華;韋良宗;;3種治療牙齦瘤方法的療效比較[J];廣西醫(yī)科大學(xué)學(xué)報(bào);2012年03期
3 李蘭超,王叢智;正畸治療后牙釉質(zhì)脫礦的臨床觀察[J];口腔正畸學(xué);2000年01期
4 王巍,曾祥龍;恒牙期安氏Ⅰ類擁擠病例正畸治療時(shí)機(jī)初探[J];口腔正畸學(xué);2002年02期
5 王建寧;張玉杰;肖水清;;正畸對(duì)齦溝液中細(xì)菌微生態(tài)及堿性磷酸酶活性影響的研究[J];口腔醫(yī)學(xué);2011年09期
6 邵奕奕;劉郁;白玉興;;成人牙周病患者拔牙矯治前后牙槽骨高度的變化的探討[J];口腔醫(yī)學(xué)研究;2010年04期
7 周偉;吳偉忠;霍安;李娜;;三種不同手術(shù)方式治療牙齦瘤的療效對(duì)比[J];內(nèi)蒙古中醫(yī)藥;2013年01期
8 李玉剛;李梅霞;;不同方法治療牙齦瘤的探討[J];中國美容醫(yī)學(xué);2013年03期
9 王安亭;;平陽霉素配合手術(shù)治療牙齦瘤30例療效觀察[J];內(nèi)蒙古中醫(yī)藥;2013年10期
10 張哲;;兩種切除牙齦瘤方法的療效評(píng)價(jià)[J];中國醫(yī)學(xué)工程;2012年07期
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