법랑모세포종 139증례의 임상소견에 따른 치료방법의 임상 통계학적 분석
The clinico-stastistical analysis of the treatments of the 139 Ameloblastomas
신영민, 박지훈, 김진욱, 권태건, 이상한, 김진수,
소속 상세정보
신영민 ( Shin Young-Min ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
박지훈 ( Park Ji-Hoon ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
김진욱 ( Kim Jin-Wook ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
권태건 ( Kwon Tae-Geon ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
이상한 ( Lee Sang-Han ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
김진수 ( Kim Chin-Soo ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
KMID : 0355620110370040287
Abstract
Introduction: Ameloblastoma is a benign but locally invasive tumor with a high recurrence rate. The aim of this study was to make an easier diagnosis and treatment planning of ameloblastoma.
Materials and Methods: From January 1993 to October 2009,139 cases from 123 patients, who had been diagnosed with ameloblastoma through radiologic and biopsy in the department of oral and maxillofacial surgery of Kyunpook National University, were selected as the subjects in this study. According to the medical charts, 9 factors (age, gender, location, chief complaints, duration, radiographic findings, size and recurrence) concerned in deciding the treatment method and the relevance between each factor and the treatment methods were examined.(Conservative treatments were marsu-pialization, enucleation, curettage and lateral decortication. Radical treatments included block excision, resection and hemisection)
Results:In the patients under the age of 20, 77.14% had conservative treatments, whereas 22.86% underwent radical treatments. In the patients over the age of 20, 44.23% were treated conservatively treatments, and 55.77% underwent radical treatments. For unilocular types, 28.57% had conservative treatments, whereas 71.43% had radical treatments. For the multilocular types, 66.67% underwent conservative treatments, and 33.33% had radical treatments. For the primary cases, 58.68% were treated conservatively and 41.32% had radical treatments. For the recurrent cases, 16.67% and 83.33% underwent conservative and radical treatments, respectively.
Conclusion: There was statistical significance in the factors affecting the treatment methods, such as age, radiographic findings and recurrence.
키워드
Ameloblastoma; Clinco-statistical analysis; Conservative treatment; Radical treatment
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