颌骨骨岛影像表现分析.docVIP

颌骨骨岛影像表现分析 　　[摘要] 目的 探讨颌面部骨岛的临床及影像学特征，分析其发生率、分布规律与年龄、性别及部位的关系。方法 对四川大学华西口腔医院放射科患者所拍摄的29 556个全景片做回顾性总结分析。其中男性12 824例，女性16 732例。年龄为8～80岁，平均年龄为23.95岁。结果 临床上骨岛无任何症状，X线片表现呈圆形、卵圆形或者不规则形；其大小绝大多数在数毫米到2 cm；以边界清晰、无膨胀的致密硬化区为其特征性表现。29 556个全景片中发现598个骨岛（545例），骨岛发生率为1.84%；49个全景片中发现了2处骨岛，2个全景片发现了3处骨岛。骨岛好发于下颌前磨牙及磨牙根尖区，且无性别差异。结论 临床工作中要注意增强对这一变异的认识。 　　[关键词] 内生骨疣； 骨岛； 影像表现 　　[中图分类号] R 445 [文献标志码] A [doi] 10.7518/hxkq.2014.01.014 　　Analysis of imaging findings in jaw bone islands Li Na， Wang Hu， Jiang Meng， Xu Laiqing， You Meng， Liu Yuanyuan， Ren Jiayin， Zhao Shuping. （State Key Laboratory of Oral Diseases， Dept. of Oral Radiology， West China Hospital of Sto-matology， Sichuan University， Chengdu 610041， China） 　　[Abstract] Objective To provide reference data on frequency and distribution of bone islands （BIs） and investigate their relationship with age， gender， and localization. Methods A population who received a pretreatment and at least one follow-up panoramic radiograph in the Department of Oral Radiology， West China Hospital of Stomatology， Sichuan University， were selected for this retrospective study. A sample population of 29 556 patients （12 824 males and 16 732 females） with different dental complaints and ages ranging from 8 to 80 years （mean age： 23.95 years） were included. Results In the radio-graphic evaluation， BIs appeared as localized， well-defined， non-expansile， radiopaque masses which were round， elliptic， or irregular in shape. Their sizes varied from a few millimeters to about 2 cm in diameter. A total of 598 radiopacities were detected， and 545 patients of 29 556 patients （1.84%） had BIs. Among subjects with multiple lesions， 49 patients had 2 BIs and 2 patients had 3 BIs. The BIs had immense mandibular predilection， with presentation primarily in the premolar/molar region. The condition appeared to have no tendencies based on sex. Conclusion Recognition of BIs variation is significant in dental examinations. 　　[Key words] enostosis； bone islands； imaging f