开窗减压术治疗大型颌骨囊肿的疗效观察  

Observation on the effect of decompression in the treatment of large jaw cystic lesions

作　　者：徐光召 欧江勇 郑丽明 古建文 

机构地区：[1]东莞市常平医院口腔科,广东省东莞523573

出　　处：《中国基层医药》2013年第9期1300-1301,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨开窗减压术治疗大型颌骨囊肿临床效果及安全性。方法 选取大型颌骨囊肿患者42例,采用随机数字表法分为两组,对照组21例采用传统刮除手术治疗;开窗减压组21例采用开窗减压术手术治疗;比较两组患者术中出血量、手术时间、术后疼痛率、术后感染率及随访复发率等。结果 开窗减压组患者术中出血量、手术时间、术后疼痛率及术后感染率等围手术期指标均明显优于对照组（P〈0.05）;对照组和开窗减压组患者随访复发率分别为24.0%和4.8%,开窗减压组患者随访复发率明显低于对照组（P〈0.05）。结论 相比较传统刮除手术治疗,开窗减压术联合二期刮治治疗大型颌骨囊肿能够减少术中出血量,缩短手术时间,减少术后感染,降低复发风险,从而获得更好的临床效果。Objective To investigate the clinical efficacy and safety of decompression in the treatment of large jaw cystic lesions.Methods 42 patients suffered from large jaw cystic lesions were randomly divided into two groups,21 patients in the control group performed the traditional curettage surgery;21 patients in the experiment group performed the decompression surgery.The intraoperative blood loss,operative time,the incidence rate of postoperative pain and postoperative infection,follow-up recurrence rate were compared between the two groups.Results The intraoperative blood loss,operative time,postoperative pain and postoperative infection rates of the experiment group were significantly better than the control group,the differences between two groups were significant（P〈0.05）.The recurrence rate of the control group and the experiment group was 24.0%,4.8%.The recurrence rate of the experiment group was significantly lower than the control group （P〈0.05）.Conclusion Compared to the traditional curettage surgery,decompression surgery can reduce blood loss,shorter operative time,reduce postoperative infection,reduce the risk of recurrence,then improve the clinical efficacy.

关 键 词：颌囊肿 减压术 外科 

分 类 号：R782[医药卫生—口腔医学]