New perspectives on radicular cysts: do they heal?
New perspectives on radicular cysts: do they heal?
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关于神经根囊肿的新观点：它们能治愈吗？
DOI：
10.1046/j.1365-2591.1998.00146.x
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发表时间：
2002
影响因子：
5
通讯作者：
NA P.N.R.
中科院分区：
文献类型：
--
作者：
NA P.N.R.
在过去的几十年里，一些作者一直认为近一半的根尖周病变是根尖囊肿。一些研究，基于仔细的连续切片的根尖周病变全部检索，已经表明，根囊肿的实际发病率只有约15%的根尖周病变。同样重要的是1980年的发现和最近的确认，即根尖囊肿存在于两种结构上不同的类别，即，那些包含完全封闭在上皮衬里中的空腔（根尖周真正囊肿）和那些包含上皮衬里的空腔，这些空腔对根管开放（根尖周囊状囊肿）。从临床的角度来看，根尖袋状囊肿可能会愈合后，传统的根管治疗，而根尖真正的囊肿是不太可能解决没有手术干预。
During the past few decades several authors have perpetuated the notion that nearly half of all periapical lesions are radicular cysts. A few studies, based on meticulous serial sectioning of periapical lesions retrieved in toto, have shown that the actual incidence of radicular cyst is only about 15% of all periapical lesions. Equally significant was the discovery in 1980 and recent confirmation that radicular cysts exist in two structurally distinct classes namely, those containing cavities completely enclosed in epithelial lining (periapical true cysts) and those containing epithelium-lined cavities that are open to the root canals (periapical pocket cysts). From a clinical point of view a periapical pocket cyst may heal after conventional root canal therapy whereas an apical true cyst is less likely to be resolved without surgical intervention.