Eisenbud L, Stern M, Rothberg M, Sachs S A
Long Island Jewish Medical Center, New Hyde Park, NY 11042.
J Oral Maxillofac Surg. 1988 May;46(5):376-84. doi: 10.1016/0278-2391(88)90221-2.
This report reviews experiences in the management of 37 cases of central giant cell granuloma of the jaws. The statistical analysis includes location, age, sex, size on initial presentation, and other variables relating to incidence and distribution. The technique of curettage or curettage with peripheral ostectomy was used in all cases treated surgically, resulting in no evidence of disease in 21 out of 23 cases followed postoperatively for 2 or more years. Radiation therapy was curative in one instance. Preoperative endodontic therapy for teeth in the field of surgery has proved to be advantageous. The pathogenesis of the giant cell granuloma of the jaws is discussed.
本报告回顾了37例颌骨中央巨细胞肉芽肿的治疗经验。统计分析包括病变部位、年龄、性别、初诊时大小以及其他与发病率和分布相关的变量。所有接受手术治疗的病例均采用刮除术或刮除术联合周边骨切除术,术后随访2年或更长时间的23例病例中,有21例无疾病复发迹象。放射治疗仅在1例中取得了治愈效果。术前对手术区域内的牙齿进行牙髓治疗已证明具有优势。文中还讨论了颌骨巨细胞肉芽肿的发病机制。