内斜切口牙龈切除术治疗牙龈增生患者的效果  

Effects of gingivectomy through inverse bavel incision in treatment of patients with gingival hyperplasia

作　　者：杨悦[1] YANG Yue(Anshan Changda Hospital,Anshan 114000 Liaoning,China)

机构地区：[1]鞍山市长大医院,辽宁鞍山114000

出　　处：《中国民康医学》2022年第5期49-51,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察内斜切口牙龈切除术治疗牙龈增生患者的效果。方法:选取86例牙龈增生患者为研究对象,按照随机数字表法分为观察组与对照组各43例。对照组采用外斜切口牙龈切除术治疗,观察组采用内斜切口牙龈切除术治疗,比较两组临床疗效、咀嚼功能评分、牙龈指数(GI)、菌斑指数(PLI)和并发症发生率。结果:观察组治疗总有效率为95.35%,明显高于对照组的81.40%,差异有统计学意义(P<0.05);术后6个月,两组咀嚼功能评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);术后6个月,观察组GI为(0.63±0.08),明显低于对照组的(1.09±0.12),差异有统计学意义(P<0.05);术后6个月,观察组PLI为(0.58±0.07),明显低于对照组的(1.15±0.09),差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:内斜切口牙龈切除术治疗牙龈增生患者可提高治疗总有效率和咀嚼功能评分,以及降低术后GI和PLI,效果优于外斜切口牙龈切除术治疗。Objective:To observe effects of gingivectomy through inverse bavel incision in treatment of patients with gingival hyperplasia.Methods:86 patients with gingival hyperplasia were selected as research objects,and were divided into observation group and control group according to random number table method,43 cases in each group.The control group was treated with gingivectomy through external oblique incision,and the observation group was treated with gingivectomy through the inverse bavel incision.The clinical efficacy,the mastication function score,the gingival index(GI),the plaque index(PLI)and the incidence of complications were compared between the two groups.Results:The total effective rate of observation group was 95.35%,which was significantly higher than that of control group 81.40%,and the difference was statistically significant(P<0.05).Six months after the surgery,the masticatory function scores in both groups were higher than those before the surgery,that of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Six months after the surgery,the GI of the observation group was(0.63±0.08),which was significantly lower than the control group of(1.09±0.12),and the difference was statistically significant(P<0.05).Six months after the surgery,the PLI of the observation group was(0.58±0.07),which was significantly lower than the control group of(1.15±0.09),and the difference was statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Gingivectomy through inverse bavel incision in treatment of patients with gingival hyperplasia can improve the total treatment efficiency and the masticatory function scores,and reduce the postoperative GI and the PLI.Moreover,it is superior to gingivectomy through the external oblique incision.

关 键 词：牙龈增生 内斜切口 外斜切口 牙龈切除术 咀嚼功能 牙龈指数 菌斑指数 

分 类 号：R725.6[医药卫生—儿科]