两种根管治疗方法的效果比较分析  

Comparative Analysis on the curative effect of 2 kinds of root canal surgery

作　　者：徐柄权[1] 

机构地区：[1]绵阳市中心医院口腔科,四川绵阳621000

出　　处：《西部医学》2011年第9期1769-1770,共2页Medical Journal of West China

摘　　要：目的探讨根管治疗的最佳方法。方法选择有记载、有随访的根管治疗病例132例共146颗牙齿,根据所采用的手术方法分为3组,分别是根管充填术+根尖切除术组79例,根尖切除术+倒充填组36例,根管充填术+根尖切除术+倒充填组31例,分别对3组治疗效果进行比较。结果 146颗牙齿中,治愈109颗,好转18颗,失败19颗,总成功率86.9%,3组的成功率分别是根管充填术+根尖切除术组89.9%(71/79),根尖切除术+倒充填组83.3%(30/36),根管充填术+根尖切除术+倒充填组83.9%(26/31)。根管充填术+根尖切除术组疗效优于另外两组(P<0.05)。结论牙根长度足够的情况下采用根管外科治疗顽固性根尖病变,是一种简单、经济、有效的辅助治疗手段,其中根管充填术+根尖切除术术后反应小,成功率高,可作为临床首选方法。Objective To summarize the experiences and provide clinic data for the improvement of root canal surgery.Methods T 132 recorded and visited cases with 146 teeth were divide into 3 groups according to surgery methods,including group 1-root canal filling method ＋apicolysis resection with 79 cases,group 2-apicolysis resection ＋ apicectomy retrograde filling with 36 cases and group 3-root canal filling＋ apicolysis resection ＋ apicectomy retrograde filling with 31 cases.Results Among 146 teeth,108 were cured,18 mended and 19 failed,with general success ratio of 86.9%.The success ratios of the three groups were 89.9%（71/79）,83.3%（30/36） and 83.9%（26/31） respectively.The curative effect of group 1 was more effective than the other two groups.Conclusion The root length was adequate,the root canal surgery treatment was a simple,economic and effective adjuvant therapy for refractory root apiex pathology.Among those methods,root canal filling method ＋apicolysis resection method has the smallest reaction with the highest success rate.

关 键 词：根管外科 根管充填术 根尖切除术 根尖倒充填术 

分 类 号：R781.33[医药卫生—口腔医学]