背景:为了分析不同组织学亚型的临床病理特征,并评估与复发相关的危险因素。
方法:进行了一项包括2971例患者的回顾性研究。病人的性别,年龄,location,尺寸,组织学亚型,复发信息,口腔卫生习惯,从患者病历和随访信息中检索牙周炎症状和吸烟史.
结果:在2971例中,局灶性纤维增生(FFH)是最常见的病变(60.92%),其次是周围骨化性纤维瘤(POF)(29.32%),化脓性肉芽肿(PG)(8.08%)和外周性巨细胞肉芽肿(PGCG)(1.68%)。在生命的第三和第四个十年,平均年龄45.55岁。在所有类型的病变中都发现了女性优势,男女比例为1.71:1。PG的复发率最高(17.18%),其次是POF(12.98%),FFH(9.55%)和PGCG(8.82%)。组织学亚型与上皮复发显著相关(P=0.013)。常规支持牙周治疗(P=0.050)与牙周复发呈负相关,而牙周炎的症状(P<0.001)与牙周炎的复发呈正相关。
结论:控制牙周炎症并定期进行牙周支持性治疗可能有助于减少牙周复发。
To analyze the clinicopathological features of different histological subtypes of epulis, and evaluate the risk factors associated with recurrence.
A retrospective study including 2971 patients was performed. The patients\' sex, age, location, size, histological subtypes, recurrence information, oral hygiene habits, periodontitis symptoms and smoking history were retrieved from the patient medical records and follow-up information.
Among the 2971 cases, focal fibrous hyperplasia (FFH) was the most common lesion (60.92%), followed by peripheral ossifying fibroma (POF) (29.32%), pyogenic granuloma (PG) (8.08%) and peripheral giant cell granuloma (PGCG) (1.68%). The peak incidence of epulis was in the third and fourth decade of life, with a mean age of 45.55 years. Female predominance was found in all types of lesions with a female to male ratio of 1.71:1. PG had the highest recurrence rate (17.18%), followed by POF (12.98%), FFH (9.55%) and PGCG (8.82%). Histological subtypes were significantly correlated with the recurrence of epulis (P = 0.013). Regular supportive periodontal therapy (P = 0.050) had a negative correlation with recurrence, whereas symptoms of periodontitis (P < 0.001) had a positive correlation with the recurrence of epulis.
Controlling the periodontal inflammation and regular supportive periodontal therapy might help reduce the recurrence of epulis.