Mulkey T F
J Oral Surg. 1977 Jul;35(7):561-8.
Three patients with hemophilic pseudotumors of the mandible were described and the treatment of the lesions was discussed. Surgical intervention, accompanied by adequate clotting factor replacement, was used in all three cases with satisfactory results. Pseudotumors of the jaws are a rare but serious complication of hemophilia. The cause of the mandibular lesion can be intraosseous hemorrhage, soft tissue hemorrhage with periosteal stripping and subperiosteal hematoma formation, or a combination of these factors. Surgical management with adequate replacement of clotting factor and the use of EACA is an effective method of treatment.
本文描述了3例下颌骨血友病性假瘤患者,并讨论了病变的治疗方法。所有3例均采用手术干预,并辅以适当的凝血因子替代治疗,效果满意。颌骨假瘤是血友病罕见但严重的并发症。下颌骨病变的原因可能是骨内出血、伴有骨膜剥离和骨膜下血肿形成的软组织出血,或这些因素的组合。采用适当的凝血因子替代并使用6-氨基己酸进行手术治疗是一种有效的治疗方法。