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成釉细胞瘤的保守治疗,采用透热疗法或冷冻手术。一项为期29年的回顾。

The conservative treatment of ameloblastoma, using diathermy or cryosurgery. A 29-year review.

作者信息

Holland P S, Mellor W C

出版信息

Int J Oral Surg. 1981;10(Suppl 1):32-6.

PMID:6807902
Abstract

At present, both the treatment, and the results of treatment, for ameloblastoma are variable, with high recurrence rates being reported. Since 1951, seven cases of extensive mandibular tumours have been treated by local excision, combined with diathermy and/or cryosurgery. After long-term follow-up there is no evidence of recurrence. In this review some cases have involved more radical treatment, viz. maxillectomy and radiotherapy, but it is now proposed that the majority of cases of mandibular ameloblastoma can be treated conservatively. Cryosurgery is advocated as an adjunct in the operative treatment of ameloblastoma, and its use is supported by recent research and clinical publications, although the time-span for review of these cases is, at yet, limited.

摘要

目前,成釉细胞瘤的治疗方法及其治疗结果各不相同,据报道复发率很高。自1951年以来,7例广泛的下颌骨肿瘤患者接受了局部切除,并结合透热疗法和/或冷冻手术治疗。经过长期随访,没有复发的迹象。在这篇综述中,一些病例采用了更激进的治疗方法,即上颌骨切除术和放射治疗,但现在有人提出,大多数下颌骨成釉细胞瘤病例可以采用保守治疗。冷冻手术被提倡作为成釉细胞瘤手术治疗的辅助手段,尽管对这些病例的回顾时间跨度有限,但近期的研究和临床出版物支持其应用。

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引用本文的文献

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Unicystic Ameloblastoma Associated with Primary Mandibular Second Molar: A Case Report.与下颌第一恒磨牙相关的单囊性成釉细胞瘤:一例报告
Int J Clin Pediatr Dent. 2023 Nov;16(Suppl 3):335-338. doi: 10.5005/jp-journals-10005-2701.
2
Is conservative surgery a better choice for the solid/multicystic ameloblastoma than radical surgery regarding recurrence? A systematic review.就复发而言,对于实性/多囊性成釉细胞瘤,保守手术比根治性手术是更好的选择吗?一项系统评价。
Oral Maxillofac Surg. 2018 Dec;22(4):349-356. doi: 10.1007/s10006-018-0715-9. Epub 2018 Sep 6.
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Establishing the natural history and growth rate of ameloblastoma with implications for management: systematic review and meta-analysis.
确定成釉细胞瘤的自然病史和生长速率及其对治疗的影响:系统评价和荟萃分析
PLoS One. 2015 Feb 23;10(2):e0117241. doi: 10.1371/journal.pone.0117241. eCollection 2015.
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Contemp Clin Dent. 2011 Oct;2(4):359-63. doi: 10.4103/0976-237X.91804.