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广东医科大学附属医院口腔科
纸质出版日期:2020,
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[1]凌瑞,张铁柱,陈坤,罗信通.成釉细胞瘤的临床病理及其与复发的关系分析[J].西南医科大学学报,2020,43(02):169-172.
LING Rui, ZHANG Tiezhu, CHEN Kun, et al. Clinicopathology of ameloblastoma and its relationship with recurrence[J]. Journal of Southwest Medical University, 2020,43(2):169-172.
目的:分析成釉细胞瘤的临床病理及其与复发的关系。方法:纳入本院2016年2月至2019年8月收治的80例成釉细胞瘤患者
所有患者均进行临床病理诊断
对所有患者随访5个月
分析病理类型与复发率之间的关系。结果:80例患者均完成手术病理诊断
其中一般型42例
占52.50%;38例单囊型
占47.50%。一般型成釉细胞瘤患者平均年龄比单囊型患者高(t=13.904
P
<
0.001)。一般型成釉细胞瘤患者病程显著比单囊型患者长(t=24.137
P
<
0.001)。一般型成釉细胞瘤复发率(59.52%)明显高于单囊型(34.21%)
差异具有统计学意义(χ
2
=5.1261
P=0.024)。42例一般型成釉细胞瘤中
14例滤泡型
占33.33%;28例丛状型
占66.67%。随访5月
滤泡型复发率(71.43%)与丛状型复发率(64.29%)比较差异无统计学意义(χ
2
=0.214
P=0.643)。结论:成釉细胞瘤中一般型的复发率明显比单囊型的高
单囊型成釉细胞瘤以青少年为主
病程较短
一般型成釉细胞瘤中滤泡型与丛状型的复发率差异性不大。
Objective: To analyze the clinicopathology of ameloblastoma and its relationship with recurrence.Methods: We included 80 patients with a clinicopathological diagnosis of ameloblastoma in our hospital from Febru-ary 2016 to August 2019
followed up them for 5 months
and then analyzed the relationship between pathologicaltypes and recurrence rate. Results: All the 80 patients completed surgical pathological diagnosis
with 42 cases(52.50%) of conventional type and 38 cases(47.50%) of unicystic type. The age of patients with conventional amelo-blastoma was significantly older than that of patients with unicystic ameloblastoma(t = 13.904
P
<
0.001). The pa-tients with conventional ameloblastoma had a significantly longer disease duration than those with unicystic type(t =24.137
P
<
0.001). The recurrence rate was significantly higher in conventional type than in unicystic type(59.52%vs 34.21%
χ
2
= 5.1261
P = 0.024). Among the 42 cases of conventional ameloblastoma
there were 14 cases(33.33%) with follicular subtype and 28 cases(66.67%) with plexiform subtype. At 5 months of follow-up
there wasno significant difference in the recurrence rate between patients with follicular subtype and plexiform subtype(71.43% vs 64.29%
χ
2
= 0.214
P = 0.643). Conclusion: The recurrence rate is significantly higher in convention-al ameloblastoma than in unicystic ameloblastoma
while it shows no significant difference between the follicularsubtype and plexiform subtype of conventional ameloblastoma. Unicystic ameloblastoma mainly affects adolescentsand exhibits a relatively short course of disease.
成釉细胞瘤临床病理复发
AmeloblastomaClinicopathologyRecurrence
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