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1、成釉细胞瘤的临床病理及其与复发的关系作者：左金华刘道峰李金荣任杰作者单位：滨州医学院附属医院口腔外科滨州市256603【摘要】目的对比分析成釉细胞瘤不同类型的临床病理特点及其与复发的关系。方法对228例成釉细胞瘤患者的病理类型和复发率进行回顾性研究。结果228例成釉细胞瘤患者中有一般烈成釉细胞瘤145例，单囊型成釉细胞瘤80例，周边型成釉细胞瘤3例;前两种病理类型患者平均就诊年龄(岁)分别为32.63±14.68和24.83±10.15,两者间有显著性差异(P<0.001);平均病程(月)分别为25.54±38.24和10.
2、99±20.36,两者间有显著性差异(Pv0・005)。一般型和单囊型成釉细胞瘤复发率分别为31.72%和15.00%,两者间有显著差异(PV0.01);在一般型成釉细胞瘤中丛状型和滤泡型两种主要亚型的复发率分别为17.65%和12.90%,两者间无显著差异(P>0.05)o结论单囊型成釉细胞瘤多见于青少年，发病年龄较一般型小，病程较一般型短,复发率比一般型低;而•般型中两种主要类型丛状型和滤泡型的复发率无明显差别。【关键词】成釉细胞瘤;组织类型;复发Studyonrelationshipbetweenclinicopath
3、ologyandrecurreneeofameloblastomasZUOJinhuaLIUDaofengLIJinrongetalDepartmentofOralandMaxillofacialSurgery,AffiliatedHospitalofBinzhouMedicalUniversity,Binzhou256603[Abstract】ObjectiveToinvestigatetheclinicopathologicalfeaturesandrecurrenceratesofameloblastomasbetwe
4、endifferenttypes.Methods145casesofclassicameloblastomasand80casesofunicysticameloblastomasamong228casesofameloblastomaswereretrospectivelyanalyzedonage,course,histologictype,recurreneerate.ResultsTheaverageage(years)inclassictypewas32.63±14.68,and24.83±10.15inunicy
5、stictype,anditwasfoundtherewasstatisticallysignificantdiffereneebetweenthem(P<0.001).Theaveragecourse(months)inclassictypewas25.54±38.24,and10.99±20.36inunicystictype,andsignificantstatisticaldiffereneebetweenthemwasalsofound(P<0.005).Therecurreneeratesofclassictyp
6、eandunicystictypewere31.72%and15.00%respectively,withasignificantdifferenceinstatistics(P<0.01).However,amongtypesofclassicameloblastoma,therewasnosignificantstatisticaldifference(P>0.05)betweenfolliculartypewitharecurreneerateof17.65%,andplexiformtypewitharecurren
7、eerateof12.90%.ConclusionUnicysticameloblastomausuallyoccurrsinyoungerpeople,withashortercoursethanclassictype・Therecurrencerateofunicystictypeameloblastomaislowerthanthatofclassictype・Butthereisnosign讦icantdiffereneeonrecurreneeratebetweenfolliculartypeandplexifor
8、mtypeamongclassictypeameloblastoma・[Keywords]ameloblastoma,histologictype,recurrenee成釉细胞瘤是口腔颌而部最常见的良性牙源性肿瘤，但具有局部侵袭性，手术后容易复发，并且偶可发生远处转移[1],其组织学表现比
