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颌骨单纯骨囊肿的放射学表现和预后。

Radiographic findings and prognosis of simple bone cysts of the jaws.

机构信息

Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan.

出版信息

Dentomaxillofac Radiol. 2010 Feb;39(2):65-71. doi: 10.1259/dmfr/54872008.

DOI:10.1259/dmfr/54872008
PMID:20100916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3520194/
Abstract

OBJECTIVE

The aim was to evaluate the possibility of radiographic prediction of the prognosis of simple bone cysts (SBCs) of the jaws.

METHODS

The relationship between the radiographic findings and treatment outcome (healing or recurrence) was investigated in 31 cases treated in the authors' hospital and 108 published cases.

RESULTS

In 17 of our 31 cases, the lesions had radiographic findings of a preserved lamina dura adjacent to the lesion, with a smooth margin, and no or smooth bone expansion, and all of them healed after surgery. In the other 14 cases, there was resorption of the lamina dura, a scalloped margin, nodular bone expansion, root resorption, a sclerotic mass or multiple cavities, and nine cases of recurrence. Although there was incomplete information in the published case studies, similar results were noted.

CONCLUSIONS

It was concluded that there was a relationship between the radiographic features of the lesions and prognosis. Radiographic examination should be used not only for discovering and diagnosing the lesions, but also for predicting possible prognosis.

摘要

目的

评估颌骨单纯骨囊肿(SBC)的放射学预测预后的可能性。

方法

作者对在本院治疗的 31 例和在已发表的 108 例病例中研究了放射学表现与治疗结果(愈合或复发)之间的关系。

结果

在我们的 31 例病例中,17 例病变的放射学表现为邻近病变的完整的硬骨板,边缘光滑,无或轻度的骨膨胀,手术后均愈合。在另外 14 例中,硬骨板吸收,边缘呈锯齿状,结节状骨膨胀,牙根吸收,硬化性肿块或多个空洞,其中 9 例复发。尽管已发表的病例研究中信息不完整,但也观察到了类似的结果。

结论

病变的放射学特征与预后之间存在关系。放射学检查不仅应用于发现和诊断病变,还应用于预测可能的预后。

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