Holland P S, Mellor W C
Int J Oral Surg. 1981;10(Suppl 1):32-6.
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.
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。