根尖囊肿微创术联合根管倒填充术对根尖周病损的骨吸收影响  

Effect of Microtrauma of Apical Cyst Combined with an Inverted Root Canal Filling on Bone Resorption in Periapical Lesions

作　　者：莫丽妮 林旭征[1] MO Li-ni;LIN Xu-zheng(Department of Stomatology,the First Hospital of Zhaoqing,Zhaoqing 526020,Guangdong Province,China)

机构地区：[1]肇庆市第一人民医院口腔科,广东肇庆526020

出　　处：《罕少疾病杂志》2021年第5期10-12,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨根尖囊肿微创术联合根管倒填充术对根尖周病损的改善作用以及对病周骨吸收的影响。方法随机选取我院2016年1月至2018年9月收治的根尖囊肿患者80例,根据治疗方法不同,随机分为研究组和对照组各40例,研究组采用根尖囊肿微创术联合根管倒填充治疗,对照组仅采用单纯根管治疗,治疗后3个月、6个月和12个月进行随访,采用根尖评分对比两组的治疗效果,同时复查X线平片,观察根尖周骨吸收的恢复情况。结果研究组40例患者的临床症状均全部消失,24例均完成了6个月的随访,11例完成了12个月的随访,随访结束,根尖病变评分为(85.33±14.89)分,明显高于同期对照组患者,差异具有统计学意义(P<0.05);术后12个月的根尖周骨吸收停止,其中35例骨质破坏完全恢复,5例根尖周骨质吸收范围明显缩小,治疗总成功率为87.5%,明显高于对照组(P<0.05)。结论在根尖囊肿微创治疗基础上,配合根管倒填充术治疗,对根尖囊肿和改善病损周围骨吸收均具有显著效果,但仍需注重填充材料的选择,以进一步提高治疗的成功率。Objective to investigate the improvement of periapical lesions and periapical bone resorption in patients with apical cyst microsurgery combined with root canal backfilling.Methods Randomly selected from our hospital from January 2016 to September 2018 were treated 80 cases of patients with an apical cyst,according to different therapeutic methods,40 cases were randomly divided into a research group and the control group,the team the root cyst micro ChuangShu joint root canal filling treatment,control group with simple only root canal treatment,after treatment for 3 months,6 months and 12 months follow-up,root score is used to contrast the treatment effect of the two groups,review of X-ray film at the same time,observe the periapical bone resorption.Results all the clinical symptoms of the 40 patients in the study group disappeared,24 patients completed the 6-month follow-up,and 11 patients completed the 12-month follow-up.At the end of the follow-up,the root tip lesion score(85.3314.89)was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The periapical bone resorption was stopped 12 months after surgery,and 35 cases had complete recovery of bone destruction,and 5 cases had significantly reduced periapical bone resorption range.The total success rate of treatment was 87.5%,which was significantly higher than that of the control group(P<0.05).Conclusion Based on the minimally invasive treatment of apical cyst,combined with an inverted root canal filling treatment,it has significant effects on apical cyst and improvement of bone resorption around the lesion,but it still needs to pay attention to the selection of filling materials to further improve the success rate of treatment.

关 键 词：根尖囊肿微创术 根管倒填充术 根尖囊肿 骨吸收 

分 类 号：R782.1[医药卫生—口腔医学]