根尖病变手术区植骨诱导与自身凝血块机化对比疗效观察  

Evaluation of Endodontic Microsurgery Surgery in Cases With Bone or not in Anterior Teeth Apical Cyst

作　　者：李新尚[1] 程鲁晋[2] 赵今[1] 戴永刚[1] 连冰洁[1] LI Xinshang;CHENG Lujin;ZHAO Jin;DAI Yonggang;LIAN Bingjie(Department of Stomatology;The First Affiliated Hospital of Xinfiang Medical Universit;Urumqi Xinjiang 830054,China;2 Department of Prosthodontics,The First Affiliated Hospital of Xinjiang Medical University,Urumqi Xinjiang 830054,China)

机构地区：[1]新疆医科大学第一附属医院牙体牙髓科,新疆乌鲁木齐市830054 [2]新疆医科大学第一附属医院口腔修复科,新疆乌鲁木齐830054

出　　处：《继续医学教育》2018年第8期65-68,共4页Continuing Medical Education

基　　金：新疆医科大学第一附属医院青年科学基金资助(2014ZRQN13)

摘　　要：目的观察根尖病变根尖手术区采用植骨诱导与非植骨观察自身凝血块机化愈合对比研究。方法选择前牙根尖囊肿患者60例(73颗患牙)作为研究对象,将其随机分为两组。实验组(36颗患牙)采用根尖手术后植骨;对照组(37颗患牙)采用根尖手术,不植骨;观察两组术后反应和2年后的临床疗效。结果在手术l周内,两组均有程度不等的急性反应。随访术后2年后,实验组患牙有效率为91.67%,对照组患牙有效率为89.18%,两组对比,差异无统计学意义(P>0.05)。结论根尖手术区植骨与不植骨疗效差别不明显。Objective To observe the effect of bone graft induction and non-bone graft on the mechanical healing of autologous clots in the operation area of apical lesions. Methods 60 patients（73 teeth） with anterior root apex cyst were selected and randomly divided into two groups. The experimental group（36 teeth） received bone grafting after apical surgery. The control group（37 teeth） underwent root tip surgery without bone grafting. The postoperative response and clinical efficacy of the two groups were observed after 2 years. Results During the first week of operation, the acute reaction occured in the two groups. Two years after operation, the effective rate of the experimental group was 91.67%, and that of the control group was 89.18%. There was no significant difference between the two groups（P〈0.05）. ConclusionThere was no significant difference in bone graft and no bone graft between the apical area.

关 键 词：根尖手术 根尖囊肿 骨粉 

分 类 号：R781[医药卫生—口腔医学]