Gubaĭdulina E Ia, Tsegel'nik L N, Luzina V V, Topleninova D Iu
Stomatologiia (Mosk). 2007;86(3):51-3.
Experience in operative treatment of 91 patients with spacious cysts of jaws occupying from 1/3 to capital DSE, Macedonian and more of the lower jaw volume was presented. In 36 patients keratocysts were found and in 55 patients teeth containing cysts. In the latter case it is obligatory to remove fully the cyst capsule because its epithelium is capable of metaplasia and neoplastic transformation. Patients were treated with the use of 2 stage method. 1st stage included decompression operation of cystotomy type; 2nd stage was performed 1-2 or more years later (depending upon primary cyst size) and consisted of remaining cyst capsule removal with wound closure. Benefits of 2 stage operation were described.
介绍了对91例颌骨大型囊肿患者的手术治疗经验,这些囊肿占据下颌骨体积的1/3至全部,且多位于下颌骨。其中36例为角化囊肿,55例为含牙囊肿。在后一种情况下,必须完全切除囊肿包膜,因为其上皮能够化生和发生肿瘤转化。患者采用两阶段法治疗。第一阶段包括囊肿切开减压手术;第二阶段在1 - 2年或更晚(取决于原发囊肿大小)进行,包括切除剩余囊肿包膜并缝合伤口。描述了两阶段手术的益处。