不同根管冲洗方法在瘘管型根尖周炎治疗中的疗效分析  

Efficacy of Different root Washing Methods in the Treatment of Apical Periodontitis with Fistula

作　　者：胡静[1] 张娜[2] 赵文峰[1] 陈增力[1] 李广[2] 

机构地区：[1]北京军区总医院口腔科,北京100700 [2]第二炮兵总医院口腔科,北京100088

出　　处：《现代生物医学进展》2014年第14期2727-2729,2701,共4页Progress in Modern Biomedicine

摘　　要：目的:比较普通冲洗和超声冲洗方法对瘘管型慢性根尖周炎一次性根管治疗疗效的影响,以期为超声冲洗方法在慢性根尖周炎临床治疗中的应用提供指导。方法:将2010年6月-2012年6月来我科就诊的166名瘘管型慢性根尖周炎患者随机分为2组,超声冲洗组和普通冲洗组,根据分组分别在一次性根管治疗术中的根管清理过程采用超声根管冲洗方法和普通注射器冲洗方法,术后1周和半年时复诊记录患者一次性根管治疗效果,通过以患者术后1周内的主观"疼痛程度"作为短期评价指标和术后半年治疗效果作为长期评价指标进行比较,采用X2检验进行统计分析。结果:与普通注射器冲洗方法相比,超声冲洗方法可以明显减低一次性根管治疗后短期不适症状的发生率(P<0.05),特别是重度反应的发生(P<0.05);而术后出现的轻度和中度疼痛反应无明显差异。同时,超声冲洗方法可以明显增加一次性根管治疗术的长期成功率(P<0.05)。结论:一次性根管治疗术中使用超声冲洗方法替代常规注射器冲洗方法,能够明显减轻患者短期术后以"疼痛"为主要表现的不适症状,提高一次性根管治疗术在瘘管型根尖周治疗中的长期成功率,是一种较为理想的根管治疗冲洗方法。Objective： To compare the effect of common irrigation and ultrasonic irrigation methods in the therapy of chronic apical periodontitis with fistula and provide guidance for the application of ultrasonic irrigation in the clinical treatment of chronic periodontitis. Methods： 166 patients diagnosed of apical periodontitis with fistula from June 2010 to June 2012 were randomly divided into common irrigation treatment group and ultrasonic irrigation treatment group with 83 patients each. Then short-term postoperative reaction, such as postoperative pain, and long-term efficacy were recorded and analyzed by Chi-Square Test. Results： Compared with the common irrigation treatment group, the ultrasonic irrigation method can significantly reduce the incidence of short-term symptoms after one-step root canal therapy, especially severe reactions（P0.05）, but there was no significant difference about mild and moderate pain response. The ultrasonic irrigation methods can also significantly increase the long-term success rate of one-step root canal therapy（P0.05）. Conclusion： Ultrasonic irrigation method, which is an ideal root canal treatment rinse, can significantly alleviate the short-term symptoms of the patients after treatment, such as postoperative pain, and improve the success rate of one step root canal therapy in the treatment of chronic apical periodontitis with fistula.

关 键 词：超声冲洗 瘘管型根尖周炎 一次性根管治疗术 

分 类 号：R781.3[医药卫生—口腔医学]