一次法与多次法根管治疗术治疗隐裂牙伴牙髓炎的疗效:meta分析  

Outcome of one-visit and multiple-visit root canal treatment for cracked tooth with pulpitis: a meta analysis

作　　者：王雯 王鹏来 谢妮娜 吴翠 刘宗响 WANG Wen;WANG Peng-lai;XIE Ni-na;WU Cui;LIU Zong-xiang(Department of Periodontics;Dental lmpltmt Center;Department of Pediatric Dentistry, Xuzhou Stomatological Hospital. Xuzhou 221003, Jiangsu Province, China)

机构地区：[1]徐州市口腔医院牙周病科,江苏徐州221003 [2]徐州市口腔医院种植中心,江苏徐州221003 [3]徐州市口腔医院儿童牙病科,江苏徐州221003

出　　处：《上海口腔医学》2017年第6期672-679,共8页Shanghai Journal of Stomatology

基　　金：江苏省徐州市科技计划项目(KC16SL107)

摘　　要：目的 :系统评价一次法与多次法根管治疗术治疗隐裂牙伴牙髓炎的效果。方法 :在MEDLINE、CNKI、VIP、万方等数据库中检索从建库至2016年6月1日的一次法及多次法根管治疗术治疗隐裂牙伴牙髓炎的文献,并按纳入标准进行筛选。采用Stata/SE12.1软件对纳入文献进行特征收集、质量评价,并对治疗效果、随访结果(半年、1年)及术后疼痛进行分析。结果:共纳入24篇中文文献,未搜到符合条件的外文文献,包括3065例病例,其中1608例行一次法根管治疗,1457例行多次法根管治疗。分析显示,一次法根管治疗术的治疗有效率(96.90%)、半年随访成功率(94.90%)、1年随访成功率(94.60%)均高于多次法(分别为84.00%、81.40%和89.00%),2种方法的术后疼痛率无显著差异[RR=0.96,95%CI(0.82,1.13)]。敏感性检验后结果未发生明显改变。纳入文献在分配方法、根管治疗操作细节等方面存在差异。结论:现有文献表明,相比多次法,一次法根管治疗术治疗隐裂牙伴牙髓炎的疗效更好、术后疼痛率不高,但有必要进行更全面、规范的临床随机对照试验进行验证。PURPOSE： To compare the treatment effect between one-visit and multiple-visit endodontic treatment for cracked tooth with pulpitis. METHODS： The literatures published before 2016-06-01 regarding to one-visit and multiple-visit root canal treatment for cracked tooth with pulpitis were searched through MEDLINE, CNKI, VIP, Wanfang Database et al. Then the included studies were chosen according to the inclusion criteria. Collection of features, quality evaluation and analysis of treatment effect, follow-up results （half year/1 year） and postoperative pain of the included studies were analyzed using Stata/SE12.1 software. RESULTS： A total of 24 Chinese literatures were included and no eligible foreign literatures were found. There were 3065 cases including 1608 with one-visit endodontic treatment and 1457 with multiple-visit endodontic treatment. Meta analysis showed that the effective rate （96.90%） and follow-up success rate （94.90%,94.60%） of one-visit endodontic treatment were significantly higher than multiple-visit one （84.00%,81.40%,89.00%）,while there was no significant difference in postoperative pain [RR=0.96,95%CI （0.82,1.13）].The results did not change after sensitivity analysis. However,there were some differences in assignment methods and operations details among the literatures. CONCLUSIONS： The existing limited evidences show that one-visit endodontic treatment has higher effective rate than multiple-visit endodontic treatment and its postoperative pain is acceptable. However, more standard randomized controlled trials are needed.

关 键 词：牙裂综合征 根管治疗 随机对照试验 荟萃分析 

分 类 号：R781.05[医药卫生—口腔医学]