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目的探讨阻塞器应用于颌骨大型囊性病变袋成形术的效果。方法采用袋成形术辅以阻塞器治疗42例最大径大于3.0 cm的颌骨囊性病变患者。术后定期对患者进行临床检查及拍摄X线曲面断层片,评价颌骨囊性病变的变化。结果术后随访1年,所有患者面部膨隆畸形均基本消失或完全消失,且无1例患者出现伤口感染;40例患者囊腔最大径缩小超过70%,其中10例患者囊腔消失;32例患者行二期囊性病变刮切术,术后继续随访1年,尚无复发患者。结论袋成形术联合应用阻塞器可有效治疗颌骨大型囊性病变。
Objective To investigate the effect of occluder in maxillary cystic plastic surgery of the jaw. Methods 42 patients with maxillary diameter greater than 3.0 cm were treated with bag angioplasty and occluder. The patients were regularly undergone clinical examination and X-ray surface tomography film to evaluate the changes of cystic lesions. Results All the patients were followed up for 1 year. All the patients had facial bulge deformity disappeared or disappeared completely, and none of the patients had wound infection. The maximal diameter of 40 cases was reduced by more than 70%, of which 10 cases disappeared and 32 cases Patients with cystic lesions sclerectomy, follow-up 1 year after surgery, there is no recurrence of patients. Conclusion Bagoplasty combined with occluder can effectively treat the large cystic lesions of the jaw.