根尖周炎性病变的临床诊断与组织病理学诊断之间的相关性
Correlation between clinical and histopathological diagnoses in periapical inflammatory lesions.
作者信息
Diegues Liliane Lopes, Colombo Robazza Carlos Roberto, Costa Hanemann João Adolfo, Costa Pereira Alessandro Antônio, Silva Cléverson O
机构信息
Department of Clinic and Surgery, Alfenas Federal University, Alfenas, Brazil Department of Biomedical Sciences, Alfenas Federal University, Alfenas, Brazil Department of Dentistry, State University of Maringá, Maringá, Brazil Department of Dentistry, Ingá University, Maringá, Brazil.
出版信息
J Investig Clin Dent. 2011 Aug;2(3):184-6. doi: 10.1111/j.2041-1626.2011.00053.x. Epub 2011 Mar 15.
AIM
The purpose of the present study was to evaluate the correlation between clinical and histopathological diagnoses of periapical inflammatory lesions, focusing mainly on cystic conditions.
METHODS
Files dating from 1998 to 2006 at the Oral Pathology Laboratory, School of Dentistry, Alfenas Federal University, Brazil, were reviewed to identify cases with histopathological diagnoses of periapical inflammatory lesions. A total of 1788 files were analyzed, and 255 cases were identified with clinical diagnoses of periapical inflammatory lesions.
RESULTS
The most prevalent clinical diagnosis was apical periodontal cyst (59%), followed by periapical granuloma (20%), and dentoalveolar abscess (2%). After histopathological analysis, 53% of the cases represented apical periodontal cyst, 42% periapical granuloma, and 5% dentoalveolar abscess.
CONCLUSIONS
The outcomes of the present study show a high prevalence of periapical cysts among periapical inflammatory lesions. Moreover, this study highlights the importance of histopathological evaluation for the correct diagnosis of periapical inflammatory lesions.
目的
本研究旨在评估根尖周炎性病变的临床诊断与组织病理学诊断之间的相关性，主要关注囊性病变情况。
方法
回顾巴西阿尔费纳斯联邦大学牙科学院口腔病理学实验室1998年至2006年的档案，以确定具有根尖周炎性病变组织病理学诊断的病例。共分析了1788份档案，确定了255例具有根尖周炎性病变临床诊断的病例。
结果
最常见的临床诊断是根尖牙周囊肿（59%），其次是根尖肉芽肿（20%）和牙槽脓肿（2%）。经过组织病理学分析，53%的病例为根尖牙周囊肿，42%为根尖肉芽肿，5%为牙槽脓肿。
结论
本研究结果显示根尖周囊肿在根尖周炎性病变中患病率较高。此外，本研究强调了组织病理学评估对根尖周炎性病变正确诊断的重要性。
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