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      • KCI등재

        법랑아세포종의 치료에 관한 임상통계학적 분석

        오명철,김진수,OH, Myoung Chul,Kim, Chin Soo 대한악안면성형재건외과학회 1993 Maxillofacial Plastic Reconstructive Surgery Vol.15 No.4

        법랑아세포종의 109증례(원발성 77증례, 재발성 32증례)의 병상일지 방사선사진, 생검보고서 등을 참고하여 임상소견(성별, 연령, 부위, 주소, 병 기간, 방사선소견, 재발유무, 병소크기)과 치료방법과의 관련성을 연구한 결과 다음과 같다. 남자에서 보존적 치료방법이 44.6% 근치적 치료 방법이 55.4%, 여자에서는 보존적 치료방법이 31.8% 근치적 치료방법이 68.2% 시행되었으며, 20세 미만에서는 보존적 치료방법이 62.9% 근치적 치료 방법이 37.1%, 20세 이상에서는 보존적 치료방법이 31.7% 근치적 치료방법이 68.3% 시행되었고, 상악에서는 보존적 치료방법이 16.7% 근치적 치료방법이 83.3%, 하악에서는 보존적 치료방법이 42.3% 근치적 치료방법이 57.7% 시행되었다. 동통이 있는 경우에는 보존적 치료방법 33.3% 근치적 치료방법 66.7%, 동통이 없는 경우에는 보존적 치료방법이 42.5% 근치적 치료방법이 57.5% 시행되었으며, 평균병력기간(31 34개월) 미만의 경우에는 보존적치료방법 48.6% 근치적 치료방법이 51.4%, 평균병력기간 이상의 경우에는 보존적 치료방법인 20% 근치적 치료방법이 80%가 시행되었고, 단방형에서는 보존적 치료방법 55.3% 근치적치료방법이 44.7%, 다방형에서는 보존적치료방법 27.4%, 근치적 치료방법 72.6%가 시행되었다. 평균크기 미만의 경우에는 보존적 치료방법이 45.7% 근치적 치료방법이 54.3%, 평균크기 이상의 경우에는 보존적 치료방법이 28.2% 근치적 치료방법이 71.8%가 시행되었고, 원발성 경우에는 보존적 치료방법이 46.8% 근치적 치료방법이 53.2% 시행되었으며, 재발된 경우에는 보존적 치료방법이 21.9% 근치적 치료방법이 78.1% 시행되었다. 이상의 성적을 Chi-square test를 이용하여 통계처리하여 보면 성별, 부위, 주소, 병소크기와 치료방법 사이에는 관련성이 없었으나, 20세 이상의 연령층, 다방성 방사선소견, 31 34개월 이상의 병력기간 및 재발된 경우에서는 근치적 치료방법이 선호되었다. The author studied on the 109 cases of ameloblastoma which had been diagnosed with biopsy during the period of 1962 to 1992 at the Kyungpook National University Hospital, Kyemyung University Hospital, Youngnam University Hospital, Catholic Medical School Hospital, Pusan National University and Maryknoll Hospital. This study contains the statistical analysis of the treatment method according to the clinicopathological findings such as sex, age, location, chief complaints, duration, radiographic findings, size and recurrence. The results were as follows : 1. The incidence rate was 59.7% in male and 40.3% in female. 2. At the time of diagnosis, the age of the patients ranged from 9 to 69 years(average 31.4years). The cases of 72.4% were in the 2nd, 3rd, and 4th decades of life. 3. The majority of cases occurred in the mandible 88.9%, especially in the mandiblar angle area 57.8%. 4. The most prevalent chief complaints was swelling 58.7%. 5. As regards duration, the cases less than 1 year appeared 49.5% and average duration is 31.34months. 6. Unilocular type showed 43.1% and multilocular type appeared 56.9%. 7. Conservative treatment was performed 39.4% and radical treatment was employed 60.6%. 8. There were variations of lesional sizes between 2.0cm and 15cm(average 6.26cm). 9. The recurrence rate is 29.4%. 10. The frequency of treatment was not in association with sexes, locations, chief complaints and sizes. 11. Radical treatment was performed more frequently in cases of older age group(above 20 years old), multilocular cases, above average duration(31.34 months) group and recurrent cases (P<0.05).

      • KCI등재

        법랑아세포종의 치료에 관한 임상통계학적 분석

        김진수(Chin Soo Kim),오명철(Myoung Chul Oh) 대한악안면성형재건외과학회 1994 Maxillofacial Plastic Reconstructive Surgery Vol.15 No.4

        The author studied on the 109 cases of ameloblastoma which had been diagnosed with biopsy during the period of 1962 to 1992 at the Kyungpook National University Hospital, Kyemyung University Hospital, Youngnam University Hospital, Catholic Medical School Hospital, Pusan Na6onal University and Maryknoll Hospital. This study contains the statistical analysis of the treatment method according to the clinicopathological findings such as sex, age, location, chief complaints, duration, radiographic findings, size and recurrence The results were as follows: 1. The incidence rate was 59,7% in male and 40.8% in female. 2. At the time of diagnosis, the age of the patients ranged from 9 to 69 years (average 31.4yeaa). The cases of 72.4% were in the 2nd, 3rd, and 4th decades of life. .3. The majority of cases occurred in the mandible 88.9%, especially in the mandiblar angle area 57.8%. 4. The most prevalent chief complaints was swelling 58.7%. 5. As regards duration, the cases less than 1 year appeared 49.5% and average duration is 31.34months. 6. Unilocular type showed 43.1% and multilocular type appeared 56.9%. 7. Conservative treatment was performed 39.4% and radical treatment was employed 60.6% 8. There were variations of lesional sizes between 2.0cm and 15cm (average 6.26cm). 9. The recurrence rate is 29.4%. 10. The frequency of treatment was not in association with sexes, locations, chief complaints and sizes. 11. Radical treatment was performed more frequently in cases of older age group (above 20 years old), multilocular cases, above average duration (81.34 months) group and recurrent cases (P<0.05).

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