一次法与多次法根管治疗术治疗牙髓炎、慢性根尖周炎的对比研究  

Analysis of Root Canal Therapy Treated Endodontitis and Chronic Periapical Periodontitis Comparing Single Meal Method with Multiple Meal methods

作　　者：谭小尧[1] 王蕾[1] 萧雅一[1] 冯辉[1] 罗智宇[1] 

机构地区：[1]南充市中心医院川北医学院第二临床医学院,四川南充637000

出　　处：《现代诊断与治疗》2012年第5期407-409,共3页Modern Diagnosis and Treatment

摘　　要：目的比较一次法与多次法根管治疗术治疗牙髓炎、慢性根尖周炎的疗效和安全性。方法随机选择牙髓炎、慢性根尖周炎患者400例,分为实验组与对照组各200例,实验组采用一次法根管治疗术治疗,对照组采用多次法根管治疗术治疗,观察两组治疗后1周内并发症和术后3年效果。结果一次法与多次法根管治疗术后72 h总的疼痛发生率比较,差异无统计学意义(P>0.05),疼痛分级Ⅱ级、Ⅲ级两者间差异有统计学意义(P<0.05)一次法要高于多次法,术后1周疼痛发生率比较,差异无统计学意义(P>0.05);一次法根管治疗术后使用止痛药或抗生素的病人明显较多次法多,差异有统计学意义(P<0.05);影像学,一次法根管治疗术与多次根管治疗术相比有一些优势,但两者差异无统计学意义(P>0.05);一次法与多次根管治疗术后3年成功率两者差异无统计学意义(P>0.05)。结论一次法与多次法根管治疗术,从总体分析两者并发症及疗效差异无统计学意义。一次法根管治疗术治疗牙髓炎、慢性根尖周炎是一种安全有效的方法。Objective Compare a method with multiple root canal therapy of chronic apical periodontitis pulpitis,efficacy and safety.Methods A random selection of pulpitis,periapical periodontitis patients with 400 cases,divided into the experimental group and the control group with 200 cases in each group,the experimental group with single-visit root canal therapy treatment,control group with multiple root canal therapy,treatment in the two groups were observed within one week after the complication and the postoperative effect of three years.Results A method and multiple root canal treatment after 72 h total pain incidence was compared,the difference was not statistically significant(P> 0.05),pain grade II,III grade difference was statistically significant(0.05 > P > 0.01) a method to be higher than many times,a week after the occurrence of pain to compare,the difference was not statistically significant(P > 0.05);of single-visit root canal therapy after the use of painkiller or antibiotics patients are significantly more more,the difference was statistically significant(P < 0.05);imaging,single-visit root canal therapy and multiple root canal therapy compared to has some advantages,but the difference was not statistically significant(P > 0.05);a method with multiple root canal therapy after 3 years of success rate of the difference was not statistically significant(P > 0.05).Conclusion A method of root canal therapy with multiple times,from the overall analysis of both complications and efficacy with no statistically significant difference.Of single-visit root canal therapy treatment of pulpitis,periapical periodontitis is a safe and effective method.

关 键 词：根管治疗术 一次法 多次法 并发症 疗效 

分 类 号：R781.31[医药卫生—口腔医学]