开窗减压术治疗口腔颌面部大型囊肿的临床效果  

Clinical effect of fenestration decompression in the treatment of large cyst in oral and maxillofacial region

作　　者：丘仿松[1] 郑军[1] 谢远鸿[1] 洪劲超[1] QIU Fang-song,ZHENG Jun,XIE Yuan-hong,HONG Jin-chao(Central Hospital of Jiangmen City in Guangdong Province,Jiangmen 529000,Chin)

机构地区：[1]广东省江门市中心医院,广东江门529000

出　　处：《中国当代医药》2018年第14期113-115,共3页China Modern Medicine

摘　　要：目的探讨口腔颌骨囊肿患者接受开窗减压术治疗的临床效果。方法选取我院2010年1月~2017年12月收治的40例口腔面部颌骨囊肿患者作为研究对象,按照随机数字表法分为研究组(n=20)和参照组(n=20)。研究组患者采取开窗减压术方法,参照组患者采取传统囊肿剔除术方法。比较两组的手术相关指标、临床疗效及并发症发生率。结果研究组的手术时间、住院时间均明显短于参照组,术中出血量和术后并发症发生率明显低于参照组,差异有统计学意义(P<0.05)。研究组的临床治疗总有效率明显高于参照组,差异有统计学意义(P<0.05)。结论口腔颌骨囊肿患者接受开窗减压术治疗能够从根本上改善患者临床表现,缩短手术时间,控制术中出血量,同时达到预期临床疗效。该手术方案安全性也较为突出,患者住院时间及术后副作用发生情况控制较好,整体来讲开窗减压术临床应用价值更明显。Objective To explore the clinical effect of fenestration decompression in the treatment of large cyst in oral and maxillofacial region.Methods Forty patients with oral and maxillofacial cysts admitted in our hospital from January2010 to December 2017 were selected as research subjects,and all patients were divided into the study group（n=20）and the reference group（n=20） according to the random number table method.Patients in the study group were treated with fenestration decompression,and the patients in the reference group were treated by traditional cystectomy.The operation related indicators,clinical efficacy and the incidence of complications were compared between the two groups.Results The operation time and hospitalization time in the study group were significantly shorter than those in the reference group,the amount of bleeding and postoperative complications in the study group were significantly lower than those in the reference group,with significant difference（P〈0.05）.The total effective rate of clinical treatment in the study group was significantly higher than that in the reference group,with significant difference（P〈0.05）.Conclusion Oral and maxillofacial cyst patients undergoing fenestration decompression can fundamentally improve the clinical manifestations,shorten the operation time,control the volume of blood loss and achieve the expected clinical curative effect.The safety of this surgical plan is also outstanding,and the patient′s hospitalization time and postoperative side effects are well controlled,on the whole the clinical application of fenestration decompression value is more obvious.

关 键 词：口腔颌骨囊肿 传统囊肿剔除术 开窗减压术 

分 类 号：R782.05[医药卫生—口腔医学]