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论文摘要

成釉细胞瘤的锥形束CT表现分析

Cone-beam CT features of ameloblastomas

作者:罗晶晶 游梦 文陈妮 许来青 郑广宁

Author:Luo Jingjing, You Meng, Wen Chenni, Xu Laiqing, Zheng Guangning

收稿日期:          年卷(期)页码:2014,32(4):373-373-377

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:成釉细胞瘤, 锥形束CT, 临床诊断,

Key words:ameloblastoma, cone-beam CT, clinical diagnosis,

基金项目:

中文摘要

目的 对成釉细胞瘤的锥形束CT(CBCT)表现进行总结分析,为其临床诊断提供依据。方法 对病理确诊的有完整CBCT影像资料的37例成釉细胞瘤病例进行回顾性分析,观察其不同CBCT表现。结果 37例资料中,31例为原发病例,6例为复发病例。CBCT表现: 37例病变中,有 36例(97.3%)为骨内型,其中多房型 17例,单房型 17例,蜂窝型 2例; 1例(2.7%)为骨外型,即软组织型。88.2%(15/17)多房型病变内见舌形嵴;34例(94.4%)颌骨呈唇颊侧或(和)腭舌侧膨隆,颌骨骨密质局部不连续。结论 CBCT检查能精确地反映成釉细胞瘤病变形态和内部结构,对其术前诊断及手术计划具有重要的指导意义。

英文摘要

Objective To summarize and analyze the cone-beam CT (CBCT) imaging features of ameloblastomas for clinical preoperative diagnosis.Methods Thirty-seven cases with complete data proven by pathology were retrospectively studied for distinct CBCT features.Results Of the 37 cases, 31 were primary and 6 were recurrent. On CBCT images, the 37 cases were composed of 36 cases (97.3%) of intraosseous lesions (17 cases of multilocular lesions, 17 cases of unilocular lesions, and 2 cases of honeycomb lesion) and 1 case (2.7%) of extraosseous lesion (soft tissue lesion). Of the 17 multilocular cases, 15 (88.2%) showed tongue-shaped crests in lesions. Thirty-four cases (94.4%) showed apparent expansible change toward lip/buccal and(or) palatal/lingual sides of jaw,with partialcortical erosion.Conclusion CBCT imaging yields accurate three-dimensional images of lesion shape and structure. Therefore, CBCT can be usedfor the clinical diagnosis and surgical assessment of ameloblastoma.

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