较大根尖囊状病损的非手术根管治疗疗效分析  

Clinic efficiency analysis of non-surgical root canal treatment of larger periapical cyst-like lesions

作　　者：吴成勇[1] 周耀[2] WU Chengyong;ZHOU Yao(Department of Stomatology,the Affiliated Jianhu Hospital of Nantong University,Jianhu 224700,China)

机构地区：[1]南通大学附属建湖医院口腔科,江苏建湖224700 [2]南京医科大学附属口腔医院牙体牙髓科,南京医科大学口腔疾病研究江苏省重点实验室,江苏省口腔转化医学工程中心,江苏南京210029

出　　处：《口腔医学》2021年第12期1117-1120,共4页Stomatology

摘　　要：目的分析评估非手术根管治疗对较大根尖囊状病损的疗效。方法选取2015年1月至2020年12月就诊于南京医科大学附属口腔医院的59例根尖囊状病损患者,共60例病损(其中1例患者为双侧根尖囊状病损),其根尖透射影最大径均大于10 mm,边界清晰。将病损随机分为A、B两组,A组32例病损仅通过规范完善的根管治疗,B组28例病损在通过完善根管治疗后进行外科病变清除术,术后进行定期随访观察。结果经过3~18个月的随访发现,A组病损中12例治愈,16例改善,4例根尖未见明显变化,有效率达87.5%;B组病损中16例治愈,12例改善,有效率达100%,但两组间无显著性差异(P>0.05)。结论非手术根管治疗在治疗根尖囊状病损时有较高的成功率,在没有急性症状的较大根尖囊状病损患者中,非手术治疗应作为首选治疗方法。Objective To analyze and evaluate the effect of non-surgical root canal therapy on larger periapical cyst-like lesions.Methods From January 2015 to December 2020,60 cases of periapical cystic lesions with the maximum diameter of more than 10 mm treated in the Affiliated Stomatological Hospital of Nanjing Medical University were selected.Among them,32 cases in group A were only treated with non-surgical root canal treatment,and the other 28 cases in group B with apical surgery after root canal therapy.Then regular follow-up observation was carried out after treatment.Results After 3-18 months of follow-up,12 of the 32 lesions in group A healed and 16 improved;4 did not see significant changes in the root lesion.The effective rate was 87.5%.Of the 28 lesions in group B,16 were cured and 12 improved,with an effective rate of 100%.Statistically,there was no significant difference between the two groups(P>0.05).Conclusion Non-surgical root canal treatment has a high success rate for larger periapical cyst-like lesions,which can be used as the preferred treatment for large apical cystic lesions without acute symptoms.

关 键 词：根尖囊状病损 非手术根管治疗 有效率 

分 类 号：R781.3[医药卫生—口腔医学]