Ueno S, Mushimoto K, Shirasu R
First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Japan.
J Oral Maxillofac Surg. 1989 Jan;47(1):11-5. doi: 10.1016/0278-2391(89)90116-x.
Ninety-one patients with ameloblastoma of the mandible were studied. Among the 23 patients treated with radical surgery the recurrence rate was 8.7%, whereas the rate of 45.65% in the 68 conservatively treated patients. The prognoses of the patients treated by conservative surgery were analyzed based on the histologic and radiologic criteria of each lesion. The recurrence rate was significantly higher in the follicular type (56.8%) than in the plexiform type (32.3%). Recurrence was seen more frequently in the multilocular or soap bubble type (60.7%) than in the unilocular type (35.0%). When the recurrence rate was compared between patients aged less than 20 years and patients aged greater than or equal to 20 years, younger patients had better prognoses. It was concluded that there is a prognostic value in the histologic, radiographic, and age factors.
对91例下颌骨成釉细胞瘤患者进行了研究。在23例行根治性手术的患者中，复发率为8.7%，而在68例保守治疗的患者中，复发率为45.65%。根据每个病变的组织学和放射学标准，对接受保守手术治疗的患者的预后进行了分析。滤泡型（56.8%）的复发率明显高于丛状型（32.3%）。多房或肥皂泡型（60.7%）的复发比单房型（35.0%）更常见。比较年龄小于20岁的患者和年龄大于或等于20岁的患者的复发率，年轻患者的预后更好。得出的结论是，组织学、影像学和年龄因素具有预后价值。
