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使用全景射线图进行非手术管理的病变的回顾纵向放射性评估
Tuna Sumer1, Ayşe Pınar Sumer2
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Ondokuz Mayıs, 55270 Samsun, Turkey.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
非手术治疗的病变,包括囊性和囊类型,随着时间的推移显示出显著的尺寸增长. 建议定期进行放射性随访,以监测这些未经治疗的病变.
科学领域:
- 口腔和面放射学 口腔和面放射学
- 牙科病理学 牙科病理学
背景情况:
- 病变通常需要手术治疗.
- 患者因素可能导致对骨内囊性和囊状下病变的手术推迟或拒绝.
研究的目的:
- 评估非手术治疗的病变的放射性进展.
- 评估尺寸变化,形态特征和随时间推移的解剖参与.
主要方法:
- 用至少一年间隔拍摄的全景放射图对85个非手术管理的骨内病变进行了回顾性分析.
- 评估病变的局部,大小,形状,边缘,内部结构,根吸收,牙位移和皮质变化.
- 非参数统计比较以评估时间依赖的变化.
主要成果:
- 观察到垂直和水平尺寸的显著增加 (p < 0.05).
- 没有初始皮层边缘的病变比带有皮层边缘的病变增长更大 (p < 0.05).
- 随访3-5年的病变表现出最显著的维度变化.
结论:
- 非手术治疗的下病变往往会增加大小,这表明有可能发生进展.
- 皮层边界的发展可能与生长减缓有关,但仅通过全景射线图就不足以进行最终评估.
- 建议在临床背景下对未经治疗的病变进行定期的放射性监测.
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