一次性根管治疗术和传统多次性根管治疗术治疗根尖周炎的优劣差异  

Advantages and disadvantages between one-time root canal therapy and traditional multiple root canal therapy in the treatment of periapical periodontitis

作　　者：叶华海 许伟强 YE Huahai;XU Weiqiang(Dental Department,Xinhe Social Health of Fuyong People＇s Hospital in Baoan District,Shenzhen 518103,China;Dental Department,Heping Social Health of Fuyong People＇s Hospital in Baoan District,Shenzhen 518103,China)

机构地区：[1]深圳市宝安区福永人民医院新和社康口腔科,广东深圳518103 [2]深圳市宝安区福永人民医院和平社康口腔科,广东深圳518103

出　　处：《中国医药科学》2018年第14期243-245,共3页China Medicine And Pharmacy

摘　　要：目的评价一次性根管治疗术以及传统多次性根管治疗术治疗根尖周炎的优劣差异。方法回顾性分析100例2015年8月~2017年7月我院口腔科收治的慢性根尖周炎患者(患牙106颗),按手术方法不同为观察组和对照组,其中观察组53颗患牙,采用一次性根管治疗术进行治疗,对照组53颗患牙,采用传统多次性根管治疗术进行治疗,对比患者施行手术后有效率、疼痛发生率、复诊次数及疼痛持续时间等指标。结果观察组有效率为94.34%,对照组有效率为96.23%,两组治疗后有效率相比较差异无统计学意义(P>0.05)。两组患者术后7d、6个月疼痛的发生率相比差异无统计学意义(P>0.05)。术后对所有患者进行随访,两组疼痛持续时间相比差异有统计学意义(P<0.05),观察组复诊次数明显少于对照组,两组相比差异有统计学意义(P<0.05)。结论在慢性根尖周炎的治疗上,一次性根管治疗术以及传统多次性根管治疗术疗效并无差异,但一次性根管治疗术可明显缩短患者痛疼持续时间,增加手术的成功率,更值得推广实施。Objective To evaluate the advantages and disadvantages between one-time root canal therapy and traditional multiple root canal therapy in the treatment of periapical periodontitis. Methods A retrospective analysis of 100 cases of chronic periapical periodontitis（106 teeth） admitted to our dental department from August 2015 to July 2017 was performed, and all them were divided into the observation group and the control group according to the surgical method, 53 cases in each group. The observation group was treated with one-time root canal therapy, the control group was treated with traditional multiple root canal therapy. The efficiency of the operation, the incidence of pain, the times of referral and the duration of pain and other indexes of two groups were compared. Results The effective rate of the observation group was 94.34%, while that of the control group was 96.23%, there was no significant difference in the effective rate between the two groups after treatment（P 〉0.05）. There was no significant difference in the incidence of pain between the two groups at 7 days and 6 months after surgery（P 〉0.05）. All patients were followed up after the operation, there was significant difference in duration of pain between the two groups （P 〈0.05）, and the number of referral cases in the observation group was significantly less than that in the control group, the difference between the two groups was statistically significant（P 〈0.05）. Conclusion In the treatment of chronic apical periodontitis, there is no difference between the one-time root canal therapy and the traditional multiple root canal therapy, but the one-time root canal therapy can shorten the duration of pain and increase the success rate of operation, it is worth promoting the implementation.

关 键 词：一次性根管治疗术 传统多次性根管治疗术 根尖周炎 疗效 

分 类 号：R781.05[医药卫生—口腔医学]