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目的探讨开窗治疗在颌骨囊肿中的临床疗效及其应用价值。方法对42例颌骨囊肿患者实行开窗术,吸出囊内容物,不刮除囊壁,使囊腔与口腔相通呈开窗状态,碘仿纱条填塞,术后换药,并定期复查和随访。结果所有病例均未出现反复感染,颌骨形态良好,未出现神经及邻近重要结构损伤。术后6个月至3年随访,X线片示骨质再生情况良好,未见有囊肿复发。结论囊肿开窗术具有手术简单,术后复发率低,能最大限度地保留牙颌的完整性,并发症少等优点。
Objective To investigate the clinical efficacy and the value of fenestration in the treatment of jaw cysts. Methods 42 cases of patients with jaw cysts were fenestrated, the contents of the sac were aspirated, the cyst wall was not scraped off, the fenestration and fenestration were opened, the fenestration was filled with iodoform gauze, dressing was changed after operation, Follow-up. Results No recurrence was found in all cases. The shape of jaw was good and no nerve and adjacent important structural injuries were found. After 6 months to 3 years of follow-up, X-ray showed bone regeneration in good condition, no recurrence of cysts. Conclusions Cyst fenestration has the advantages of simple operation, low postoperative recurrence rate, maximal retention of the integrity of dental implants and fewer complications.