一次根管术与多次性根管术治疗前牙慢性根尖周炎有瘘型的近期疗效分析  

Analysis of the Short-term Efficacy of Single Root Canal Surgery and Multiple Root Canal Surgery for the Treatment of Chronic Anterior Periodontitis with Fistula

作　　者：高晶萍 GAO Jing-ping(Department of Stomatology,People's Hospital of Lingcheng District,Dezhou,Shandong Province,253300 China)

机构地区：[1]山东省德州市陵城区人民医院口腔科,山东德州253300

出　　处：《中外医疗》2020年第19期56-58,共3页China & Foreign Medical Treatment

摘　　要：目的探讨前牙慢性根尖周炎有瘘型患者采用一次根管术与多次性根管术治疗的临床疗效。方法方便选取2017年10月—2019年10月收治的前牙慢性根尖周炎有瘘型患者92例,随机分为两组,观察组46例(46颗牙)行一次根管术,对照组46例(46颗牙)行多次根管术,对比两组治疗效果。结果两组治疗总有效率比较(91.30%vs 95.65%),差异无统计学意义(χ^2=0.713,P>0.05);两组术后PAI评级结果比较差异无统计学意义(Z=1.011,P>0.05);观察组术后1周的咬合疼痛VAS评分和自发性疼痛VAS评分分别为(3.28±1.59)分、(2.21±0.85)分,与对照组相当(t=0.061、0.523,P>0.05);观察组手术时间和手术费用分别为(28.65±6.71)min、(371.34±52.13)元,均显著低于对照组(t=15.106、37.043,P<0.05);观察组与对照组术后继发根尖周感染发生率(2.17%vs10.87%)和患者治疗满意度(97.83%vs 82.61%)比较差异有统计学意义(χ^2=6.853、6.035,P<0.05)。结论对于前牙慢性根尖周炎有瘘型患者,给予一次根管术和多次根管术治疗均可获得满意的效果,但一次根管术患者治疗满意度更高。Objective To explore the clinical efficacy of single root canal surgery and multiple root canal surgery in patients with fistula of chronic periapical periodontitis.Methods A total of 92 patients with fistula of chronic periapical periodontitis of anterior teeth admitted from October 2017 to October 2019 were convenient selection randomly divided into two groups.The observation group(46 teeth)underwent one root canal surgery,and the control group of 46 patients(46 teeth)underwent multiple root canals to compare the treatment effects of the two groups.Results There was no significant difference in the total effective rate of treatment between the two groups(91.30%vs 95.65%)(χ^2=0.713,P>0.05);there was no significant difference in postoperative PAI rating between the two groups(Z=1.011,P>0.05);The VAS score of occlusal pain and spontaneous pain VAS score of one week after observation in the observation group were(3.28±1.59)points and(2.21±0.85)points,which were equivalent to the control group(t=0.061,0.523,P>0.05);the operation time and operation cost of the observation group were(28.65±6.71)min and(371.34±52.13)yuan,which were significantly lower than that of the control group(t=15.106,37.043,P<0.05);There was a significant difference between the observation group and the control group in the incidence of postoperative periapical infection(2.17%vs 10.87%)and patient satisfaction(97.83%vs 82.61%)(χ^2=6.853,6.035,P<0.05).Conclusions For patients with chronic anterior periapical periodontitis who have fistula type,satisfactory results can be obtained by single root canal treatment and multiple root canal treatments,but patients with single root canal treatment have higher satisfaction.

关 键 词：一次根管术 前牙 临床疗效 慢性根尖周炎 多次性根管术 有瘘型 

分 类 号：R781.42[医药卫生—口腔医学]