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目的:探讨颌面骨肿瘤及瘤样病变的临床特征及治疗特点。方法:对近10年住院治疗的67例颌面骨肿瘤及瘤样病变患者的临床资料进行回顾性分析。结果:67例中良性肿瘤57例(85%),恶性10例(15%)。男女发病年龄差异有统计学意义(P<0.05)。术后随访8个月～10年,失访15例,按死亡计,余52例中5例术后局部肿瘤复发。行下颌骨部分切除15例,其中8例自体髂骨移植修复,3例钢板修复,1例游离腓骨瓣移植修复,均存活。结论:颌骨多囊性病变刮除术效果好。自体骨移植修复下颌骨缺损操作简单、效果好,只要适应证选择恰当,仍然是下颌骨缺损修复的较好方法。
Objective: To investigate the clinical features and treatment characteristics of maxillofacial bone tumors and tumor-like lesions. Methods: The clinical data of 67 patients with maxillofacial bone tumors and tumor-like lesions hospitalized in the recent 10 years were analyzed retrospectively. Results: Among the 67 cases, benign tumors were 57 (85%) and 10 (15%) malignant. Age difference between men and women was statistically significant (P <0.05). The patients were followed up for 8 months to 10 years and 15 patients were lost to follow-up. According to the deaths, 5 of the remaining 52 patients had local tumor recurrence. Fifteen cases underwent partial resection of the mandible, including 8 cases of autologous iliac bone graft repair, 3 cases of plate repair, and 1 case of free fibular flap transplantation. All of them survived. Conclusion: The treatment of multiple cystic lesions of the jaw is effective. Autologous bone graft for mandibular defect repair is simple and effective, as long as the appropriate choice of indications, is still a better method of mandibular defect repair.