Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả phẫu thuật điều trị bệnh nhân có nang xương hàm do răng tại Bệnh viện Đa khoa tỉnh Trà Vinh năm 2017-2018

Odontogenic cysts is the most common cyst in the jaw, the clinical characteristics and histopathologycal can help choose the suitable treament method. Objectives To determine the clinical characteristics, X-ray, histopathology and treatment results of odontogenic cysts at Tra Vinh General Hopital. Materials and method A cross - sectional descriptive study was conducted on 45 patients diagnosed jaw cysts at Tra Vinh General Hospital, 2017 - 2018. Results average age was 44.2±17.72, gender ratio of 0.73 male/1 female. The common symptoms were odontogenic swelling, pain (66.7%), expansion of bone (42.2%), the lesions were usually associate with the maxillary anterior teeth (35.6%). In the X-ray, there were 93.3% odontogenic cysts had unilocular radiolucent, there were 71.4% of odontogenic cysts smaller than 2cm in dimension. Histopathology, all the lesions had non-keratinized boder and 60% cysts contain pus inside the lesion. There were 93.3% patient had good result after 1 week, 97.8% patient had good result after 3 month surgycal and 97.5% of cysts had enucleated successfully after 6 months. Conclusion Bone expansion is the most common symtoms of odontogenic cysts, these lesions are usually associate with anterior teeth. In the X-ray the cysts are usually unilocular radiolucent and smaller than 2cm. All the lesions have non-keratinized boder. In the final outcome of surgical treatment, 97.6% of cysts were enucleated successfully.