颌面骨纤维异常增殖症与骨化纤维瘤的鉴别诊断

中国癌症防治杂志

颌面骨纤维异常增殖症与骨化纤维瘤的鉴别诊断

邝海;陈涛;蒙宁;杨亦萍;陈军;邝国乾;

广西医科大学口腔医院颌面外科;广西医科大学肿瘤医院;

收稿日期:2009-09-25 修回日期:2009-09-25 出版日期:2009-09-25 发布日期:2009-09-25

Differential diagnosis of maxillofacial fibrous dysplasia of bone and ossifying fibroma

KUANG Hai,CHEN Tao,MENG Ning,et al.

(Department of Oral and Maxillofacial Surgery,Stomatology Hospital of Guangxi Medical University,Nanning 530021,China

Received:2009-09-25 Revised:2009-09-25 Online:2009-09-25 Published:2009-09-25

摘要/Abstract

摘要： 目的探索纤维异常增殖症(FD)与骨化纤维瘤(OF)的鉴别诊断。方法通过44例FD与66例OF的病理和影像学检查及临床表现进行对比分析和诊断。结果两组性别差异无统计学意义。OF组初发年龄、初治年龄、牙症状、体征和颌面痛及牙槽颊侧和(或)舌侧隆起,均明显高于FD组(P<0.05)。OF发生于下颌骨较多,而FD则上、下颌骨差异不大。OF组X线多见囊样型和混合型,而FD则多见磨砂玻璃型和混合型。结论FD与OF的鉴别诊断必须通过临床表现、X线及病理学检查进行综合分析才能得到准确的诊断结果。

关键词: 纤维异常增殖症, 骨化纤维瘤

Abstract: Objective To study the differentiations between maxillofacial fibrous dysplasia of bone(FD) and ossifying fibroma(OF).Methods Comparative analysis on 44 cases of FD and 66 cases of OF were carried out in the clinical,radiological and pathological manifestations.Results No significant difference was observed in the sex between FD and OF groups.The ages of initiative development and initiative cure,dental lesions,pain on the jaw and face,projection of buccal and/or glossal side of alveolar process in the OF group were higher than that in the FD group,respectively(P<0.05).Mandibulae was more often affected than maxillae in OF group,but there was no significant difference in FD group.The radiological manifestations in OF group presented radiolucent appearance and mixed appearance,while presented ground-glass appearance and mixed appearance in FD group.Conclusion Combinative analysis on clinical,radiological and pathological manifestation is necessary for deferential diagnosis on FD and OF.

Key words: Fibrous dysplasia, Ossifying fibroma, Differential diagnosis

邝海;陈涛;蒙宁;杨亦萍;陈军;邝国乾;. 颌面骨纤维异常增殖症与骨化纤维瘤的鉴别诊断[J]. 中国癌症防治杂志, 2009, 1(03): 229-231.

KUANG Hai,CHEN Tao,MENG Ning,et al.. Differential diagnosis of maxillofacial fibrous dysplasia of bone and ossifying fibroma[J]. Chinese Journal of Oncology Prevention and Treatment, 2009, 1(03): 229-231.