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顎骨에 發生된 Fibro-osseous lesion에 對한 臨床·放射線學的硏究
CLINICO-RADIOLOGICAL STUDY OF FIBRO-OSSEOUS LESION OF THE JAW

치과방사선 1982년 12권 1호 p.43 ~ 48

나경수, 박태원,

소속 상세정보

나경수 ( Na Kyung-Soo ) - 서울대학교 치과대학 치과방사선학교실
박태원 ( Park Tae-Won ) - 서울대학교 치과대학 치과방사선학교실

KMID : 0378219820120010043

Abstract

著者는 過去 10年間 서울大學校齒科大學病院에 來院하여 fibro-osseous lesion으로 診斷을 받았던 患者 44名을 對象으로 臨床放射線學的硏究에서 다음과 같은 結果를 얻었다.

1. Fibro-osseous lesion은 臨床放射線學的로 差異가 나는 두 群으로 分類되었다.
2. 첫번째 群은 纖維性骨異形成症으로서 44症例中 21症例였다.
3. 두번째 群은 齒周靭帶起源性腫瘍으로서 23症例였으며 骨化纖維鐘, 백악질化纖維腫과 백악질 骨化纖維腫이 包含되었다.
4. 大部分의 境遇疼痛없는 顎骨腫脹이 나타났으며 纖維性骨異形成症의 發生年齡이 (平均 24.6歲) 齒周靭帶起源性腫瘍 (平均 29.2歲)보다 多少 낮았다.
5. 纖維性骨異形成症은 男子와 上顎에서 많이 나타났으며 放射線寫眞像으로 ground glass나 smoke pattern을 보였다.
6. 齒周靭帶起源性腫瘍은 女性과 下顎에서 많이 나타났으며 放射線寫眞像으로 境界가 뚜렷한 骨破壞病巢內에 多樣한 放射線不透過性部들이 보이는 樣相이었다.

#초록#
Since the fibro-osseous lesion is not a specific diagnostic term, the author studied clinically and radiologically 44 cases which had been diagnosed as fibro-osseous lesion in SNUDH (1972-1981. 12).The obtained results were as follows.
1. Clinico-radiologically, the cases of fibro-osseous lesions were divided into two groups.
2. The first group was fibrous dysplasia (21 cases).
3. The second group was tumors of periodontal ligament origin, including ossifying fibroma, cementifying fibroma and cemento-ossifying fibroma (23 cases).
4. In most cases the chief complaint was painless swelling of the jaw and the mean age of the- fibrous dysplasia (24.6 yrs) was a little younger than that of the periodontal ligament origin lesions (29.2 yrs).
5. In fibrous dysplasia, maxilla was more often involved and showed ground-glass or smoke pattern radiologically.
6. The tumors of periodontal ligament origin occurred more in female, mandible and radiologically showed varying amounts of radiopaque foci in well-circumscribed osteolytic lesion.