冲洗法治疗颌骨囊肿(II)

Mitsugu Suzuki
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引用次数: 7

摘要

当颌骨囊肿很小时,通常采用第二部分切除。当它们变大时,通过Partsch I在口腔内形成鼻窦,或者根据Caldwell-Luc的方法从鼻孔形成鼻窦,因为Partsch II在手术后形成死腔,囊肿因囊内液体的压力而增大。然而,Partsch I的骨需要许多天的时间来再生,而且由于上颌窦手术后通常会形成手术性的上颌骨纤毛囊肿,所以Partsch I不一定是一个好的方法。因此,为了控制囊肿炎症,反复冲洗囊肿腔,因为人们认为,当囊肿因细菌感染而发炎时,囊肿壁会产生前列腺素样(pg样)物质;前列腺素E2 (PGE2)尤其对骨的吸收起作用,使囊肿增大。反复冲洗后,囊腔内感染消失,囊腔内压力降低,硫代巴比妥酸、前列腺素E、前列腺素F2α (TBA、PGE、PGF2α)值降低,g=2.003时自由基强度降低。囊肿壁周围的骨再生,最终囊肿变小。在粘稠囊肿液的情况下,含有透明质酸酶的溶液使其完全消失。当囊肿通过冲洗变小后,最好再应用Partsch II。经冲洗后,囊壁细胞未见不规则形态及恶性倾向。
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Treatment of jaw cysts with an irrigational method (II)

Cysts in jaws are generally excised by Partsch II when they are small. When they are large, they are excised by Partsch I to form a paranasal sinus in an oral cavity, or by an operation based on Caldwell-Luc's method to form it from nostrils, as Partsch II forms dead space after the operation and the cyst increases by the pressure of intracystic fluid. However, with Partsch I, the bone needs many days to regenerate, and since a surgical ciliated cyst of the maxilla is often formed after an operation of the maxillary sinus, Partsch I is not necessarily a good method. Therefore, in order to control cyst inflammation, the irrigation of cyst cavities was repeated, as it is held that prostaglandin-like (PG-like) substances are generated in the cyst walls when a cyst is inflamed by bacterial infection; prostaglandin E2 (PGE2) especially acts on the resorption of bone and enlarges the cyst. As a result of repeated irrigations, infection of the cyst cavities disappeared simultaneously with decreasing the pressure of intracystic cavities, the values of thiobarbituric acid, Prostaglandin E, Prostaglandin F (TBA, PGE, PGF), and the free radical intensity at g=2.003 decreased. The bone regenerated around the cyst walls, and finally the cyst diminished in size. In the case of the viscous cyst fluids, a solution containing hyaluronidase enabled complete disappearance. It would be better to apply Partsch II after the cyst has become smaller through irrigation. After the irrigational method, irregular formation and tendency toward malignancy could be found in none of the cyst wall cells.

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