一次性根管治疗术治疗前牙慢性根尖周炎有瘘型患者的临床效果分析  

Clinical Effect Analysis of One-time Root Canal Therapy for Patients with Chronic Apical Periodontitis of Anterior Teeth with Fistula

作　　者：郭庭娜 赵永恒 GUO Tingna;ZHAO Yongheng(Chaisang District People’s Hospital of Jiujiang City,Jiujiang 332100,China;不详)

机构地区：[1]江西省九江市柴桑区人民医院,江西九江332100

出　　处：《中国医学创新》2021年第4期124-127,共4页Medical Innovation of China

摘　　要：目的:探讨一次性根管治疗术治疗前牙慢性根尖周炎有瘘型患者的临床效果。方法:选取2019年1-12月本院收治的88例前牙慢性根尖周炎有瘘型患者。按随机双盲法分组原则展开研究,分为对照组与病例组,每组44例。对照组采取传统多次性根管治疗术方案,病例组采取一次性根管治疗术方案。观察两组临床疗效、自发性疼痛和咬合疼痛视觉模拟评分(VAS)、经根尖周指数(PAI)分级、手术时间、手术费用以及继发性根尖周感染率。结果:病例组的总有效率为97.73%,高于对照组84.09%,差异有统计学意义(P<0.05)。治疗后7 d,两组患者自发性疼痛和咬合疼痛VAS评分均低于治疗前,且病例组上述评分均低于对照组,差异均有统计学意义(P<0.05)。病例组的手术费用低于对照组,手术时间短于对照组,差异均有统计学意义(P<0.05)。两组的继发性根尖周感染率比较,差异无统计学意义(P>0.05)。结论:一次性根管治疗术治疗前牙慢性根尖周炎有瘘型患者的临床效果优于传统多次性根管治疗术,能够改善自发性疼痛和咬合疼痛,减少继发性根尖周感染率,手术时间更短,手术费用更低,值得临床大力推广。Objective:To explore the clinical effect analysis of one-time root canal therapy for patients with chronic apical periodontitis of anterior teeth with fistula.Method:A total of 88 patients with anterior tooth fistula with chronic periapical periodontitis admitted to our hospital from January to December 2019 were selected,according to the principle of randomized double-blind grouping,the study was divided into control group and case group,44 cases in each group.The control group adopted traditional multiple root canal treatment,and the case group adopted one-time root canal treatment.The clinical efficacy,spontaneous pain and occlusal pain simulated visual(VAS)score,periapical apical index(PAI)classification,operation time,operation cost and secondary periapical infection rate were observed.Result:The total effective rate of the case group was 97.73%,which was higher than 84.09%of the control group,the difference was statistically significant(P<0.05).At 7 d after treatment,VAS scores of spontaneous pain and occlusal pain in two groups were lower than those before treatment,and the above scores in case group were lower than those of the control group,with statistical significance(P<0.05).The operation cost and operation time of the case group were lower than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the rate of secondary periapical infection between the two groups(P>0.05).Conclusion:The clinical effect of one-time root canal therapy on patients with chronic periapical periodontitis of anterior teeth with fistula is better than traditional multiple root canal therapy.It can improve spontaneous pain and occlusal pain,and reduce the rate of secondary periapical infection.The operation time is shorter and the operation cost is lower,which is worthy of clinical promotion.

关 键 词：一次性根管治疗术 传统多次性根管治疗术 前牙慢性根尖周炎 有瘘型 

分 类 号：R781.341[医药卫生—口腔医学]