中国实用口腔科杂志

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牙源性囊肿与牙源性肿瘤的影像学诊断

胡永杰王平仲   

  1. 上海交通大学医学院附属第九人民医院·口腔医学院
  • 收稿日期:2009-01-18 修回日期:1900-01-01 出版日期:2009-02-15 发布日期:2009-02-15

  • Received:2009-01-18 Revised:1900-01-01 Online:2009-02-15 Published:2009-02-15

摘要:

牙源性囊肿与牙源性肿瘤是口腔颌面部较为常见的疾病。由于临床表现的多样性,易与其他类型的颌面部囊肿或肿瘤相混淆,而且不同类型的牙源性囊肿和肿瘤其治疗方案也有所区别,所以牙源性囊肿及肿瘤的术前诊断对于其治疗方案的选择起着关键的作用,而在其诊治的过程中,影像学检查起到了非常重要的作用;不同类型的牙源性囊肿及肿瘤的影像学表现也各具特征。本文对常见的牙源性囊肿(牙源性角化囊肿等)及肿瘤(成釉细胞瘤、恶性成釉细胞瘤等)的影像学表现结合实际的影像学图片作简单的介绍,比较各种影像学检查在上述疾病诊断中所具有的优点,以期望能将CT、MRI及全景片等影像学检查手段更好的运用于上述疾病的诊治中。

关键词: 牙源性囊肿, 牙源性肿瘤, 影像学诊断

Abstract:

Odontogenic cysts and tumors are common diseases of oromaxillo-facial region. With various manifestations, this group of diseases inclines to be confused with other types of oromaxillo-facial cysts or tumors. Within the group, treatment varies for different types of odontogenic cysts and tumors. The diagnosis of odontogenic cysts and tumors plays a key role in deciding the treatment. Imaging examination for finding the characteristics of each type of odontogenic cysts and tumors is essential in the diagnosis and treatment. This paper studies the radiographic features of real radiographic images of common oromaxillo-facial cysts (oromaxillo-facial cysts or tumors etc.) or tumors (ameloblastoma, malignant ameloblastoma etc.) and compares the advantages of different imaging examinations in diagnosis so as to improve the application of CT, MRI and panorama in the diagnosis and treatment of those diseases.

Key words: odontogenic cysts, odontogenic tumors, imaging diagnosis