大型囊性下病变的体积缩小术后核化:一项纵向临床研究
Sarah Al-Qurmoti1,2, Mueataz A Mahyoub3, Mohamed Elhoumed4,5
1Key laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, 98West 5th Road, Xi'an, 710004, Shaanxi, China.
BMC oral health
|September 13, 2023
概括
大型囊,单囊性乳腺母细胞瘤和角质囊的核化后,骨的再生是可能的. 最初的病变大小显著影响骨再生,建议量身定制的后续成像时间表.
科学领域:
- 口腔和牙面部外科手术
- 再生医学是一种再生医学.
- 牙科成像 牙科成像 牙科成像
背景情况:
- 核切除是大囊,单囊性乳腺母细胞瘤和角质囊的标准手术治疗方法.
- 核切除后大骨再生的程度尚未得到充分证实.
- 了解骨再生对于术后恢复评估至关重要.
研究的目的:
- 为了评估大囊性病变核化后的骨再生.
- 用剩余腔体积 (CVR) 分析骨再生的百分比和存活率.
- 为了确定最初的损伤大小对骨再生结果的影响.
主要方法:
- 从75名接受核切除的患者进行了纵向数据收集.
- 术前和术后的圆束计算机断层扫描 (CBCT) 成像.
- 图像 J 对CBCT扫描进行分析,以评估腔体残留体积 (CVR) 的变化.
- 卡普兰-梅尔对CVR随时间推移的生存分析.
主要成果:
- 随着时间的推移,术后心血管回路率下降:3个月后32.20%,6个月后21.10%,12个月后15.90%,24个月后5.60%.
- 最初的病变大小显著影响了CVR,较小的病变 (Q1) 在七个月后显示出明显较低的残留体积.
- 基于初始尺寸的CVR差异的统计学意义在12个月后被观察到.
结论:
- 自发的骨再生发生在没有填充材料的大型囊性病变的核化后.
- 最初的病变大小是影响核化长期结果的重要因素.
- 对于初始腔体尺寸较小的患者,建议减少CT成像后续检查的频率,以尽量减少辐射暴露和成本.
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