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[颌骨骨岛的影像学表现分析]

[Analysis of imaging findings in jaw bone islands].

作者信息

Li Na, Wang Hu, Jiang Meng, Xu Laiqing, You Meng, Liu Yuanyuan, Ren Jiayin, Zhao Shuping

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2014 Feb;32(1):58-61. doi: 10.7518/hxkq.2014.01.014.

Abstract

OBJECTIVE

To provide reference data on frequency and distribution of bone islands (BIs) and investigate their relationship with age, gender, and localization.

METHODS

A population who received a pretreatment and at least one follow-up panoramic radiograph in the Department of Oral Radiology, West China Hospital of Stomatology, Sichuan University, were selected for this retrospective study. A sample population of 29,556 patients (12,824 males and 16,732 females) with different dental complaints and ages ranging from 8 to 80 years (mean age: 23.95 years) were included.

RESULTS

In the radiographic evaluation, BIs appeared as localized, well-defined, non-expansile, radiopaque masses which were round, elliptic, or irregular in shape. Their sizes varied from a few millimeters to about 2 cm in diameter. A total of 598 radiopacities were detected, and 545 patients of 29,556 patients (1.84%) had BIs. Among subjects with multiple lesions, 49 patients had 2 BIs and 2 patients had 3 BIs. The BIs had immense mandibular predilection, with presentation primarily in the premolar/molar region. The condition appeared to have no tendencies based on sex.

CONCLUSION

Recognition of BIs variation is significant in dental examinations.

摘要

目的

提供骨岛(BIs)的发生率和分布的参考数据,并研究其与年龄、性别和部位的关系。

方法

选取四川大学华西口腔医院口腔放射科接受过治疗前及至少一次随访全景X线片检查的人群进行这项回顾性研究。纳入了29556例患者(男性12824例,女性16732例)的样本,他们有不同的牙齿问题,年龄在8至80岁之间(平均年龄:23.95岁)。

结果

在影像学评估中,骨岛表现为局限性、边界清晰、无膨胀性的不透光团块,形状为圆形、椭圆形或不规则形。其大小从几毫米到直径约2厘米不等。共检测到598个不透光区,29556例患者中有545例(1.84%)有骨岛。在有多发病变的受试者中,49例有2个骨岛,2例有3个骨岛。骨岛在下颌骨有明显的偏好,主要出现在前磨牙/磨牙区。该情况似乎没有基于性别的倾向。

结论

在牙科检查中认识骨岛的变异具有重要意义。

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