40例根尖周囊肿样病损非手术治疗的回顾性分析  

Retrospective analysis of non-surgical treatment of periapical cyst-like lesions in 40 cases

作　　者：承清 曾康瑞 马智菲 夏文薇[1] Cheng Qing;Zeng Kangrui;Ma Zhifei;Xia Wenwei(Department of endodontics,Shanghai Ninth People’s Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicine,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology,Shanghai 200011)

机构地区：[1]上海交通大学医学院附属第九人民医院 口腔医学院牙体牙髓科,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011

出　　处：《口腔材料器械杂志》2020年第2期27-31,共5页Chinese Journal of Dental Materials and Devices

基　　金：上海市科委课题(编号:15140902402)。

摘　　要：目的评估非手术治疗对根尖周囊肿样病损的疗效。方法选取2014年12月至2019年10月就诊于上海交通大学医学院附属第九人民医院牙体牙髓科的符合根尖周囊肿样病损的40例患者作为研究对象。所有非手术治疗都由同一位医生完成。治疗后3~24个月复诊,综合临床及X线检查结果进行疗效评估,并根据年龄、牙根数目、是否再治疗、根尖阴影直径大小等影响因素进行统计学分析。结果40例患者中26例评估为治愈,6例改善,8例无效。其中年龄>45岁组要低于年龄≤45岁组的治疗有效率,根尖阴影直径>10 mm组要低于4 mm^6 mm组和6 mm^10 mm组的治疗有效率,差异具有统计学意义(P<0.05)。牙根数目(单根牙组与多根牙组)、治疗方式(初次根管治疗组与根管再治疗组)对治疗有效率的影响差异无统计学意义(P>0.05)。结论非手术治疗对根尖周囊肿样病损有较高的成功率。在年轻患者及根尖阴影直径较小的患者中,非手术治疗应作为首选治疗方法。Objective The aim of this study was to evaluate the effect of non-surgical treatment on periapical cyst-like lesions.Methods A total of 40 patients with periapical cystic-like lesions in the department of endodontics of the Ninth People's Hospital affiliated to Shanghai Jiaotong University School of Medicine from December 2014 to October 2019 were selected as the research subjects.All treatments were performed by the same specialist.After 3 to 24 months of postoperative follow-up,clinical and X-ray examinations were performed to evaluate the efficacy.Statistical analysis was based on age,number of roots,treatment method,and size of periapical lesion.Results Of the 40 patients,26 cases were evaluated as cured,6 cases were evaluated as improved,and 8 cases were ineffective.The treatment efficiency was lower in the age group above 45 years than that in the age group equal to or below 45 years,and the treatment efficiency was lower in the group with periapical lesion diameter>10mm than that in the groups with periapical lesion diameter of 4 mm^6 mm and 6 mm^10 mm.The difference was statistically significant(P<0.05).There was no statistically significant difference in the treatment effectiveness between the single root group and the multiple roots group,the primary root canal treatment group and the root canal retreatment group(P>0.05).Conclusion Non-surgical treatment has a high success rate for periapical cyst-like lesions,which can be used as the preferred method in young patients with small size periapical lesions.

关 键 词：根尖周囊肿样病变 非手术治疗 根管治疗 

分 类 号：R781.34[医药卫生—口腔医学]