下颌骨弥散型硬化性骨髓炎的病因与治疗研究现状(综述) |
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引用本文: | 沈山,张国志.下颌骨弥散型硬化性骨髓炎的病因与治疗研究现状(综述)[J].暨南大学学报,2003,24(2):88-92. |
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作者姓名: | 沈山 张国志 |
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作者单位: | 1. 暨南大学附属第一医院口腔科,广东,广州,510630 2. 深圳市人民医院口腔科,广东,深圳,518000 |
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摘 要: | 下颌骨弥散型硬化性骨髓炎(DSO)表现为受累下颌骨反复发作的肿痛伴张口受限,X片表现为弥漫性骨硬化伴骨溶解;组织学改变主要为骨硬化伴不规则骨增生、骨髓由纤维组织取代、骨内可见典型的淋巴细胞与浆细胞浸润。其病因的假说有(1)下颌骨的炎症、(2)SAPHO综合征的局部表现、(3)慢性肌腱膜炎等。主要治疗手段有(1)药物治疗、(2)手术治疗等。
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关 键 词: | 下颌骨骨髓炎 弥散硬化性骨髓炎 手术治疗 |
文章编号: | 1000-9965(2003)02-0088-05 |
修稿时间: | 2002年11月11 |
Etiology and treatment of diffuse sclerosing osteomyelitis: Review of the literature |
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Abstract: | Diffuse sclerosing osteomyelitis of the mandible is characterized by recurrent swelling, pain and trimus; radiologic examination shows diffuse sclerosis or associated with osteolysis; histologic main changes are: bone sclerosing with irregular bone proliferation, marrow substituted by fibrous tissue, typical lymphocyte and plasma cell infiltrate in bone. The following hypotheses can be found in literature: infection of the mandible, part of the SAPHO syndrome, chronic tendoperiostitis, etc. The main therapies contain medicine therapy and surgical therapy. |
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Keywords: | osteomyelitis of the mandible diffuse sclerosing osteomyelitis surgical therapy |
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