两种上颌窦假性囊肿减压术后上颌窦提升术式的疗效比较  

Comparison of Two Surgical Procedure of Maxillary Sinus Lifting after Decompression of Maxillary Sinus Pseudocyst

作　　者：胡植乔 刘显[1] 刘世锋 包崇云[1] HU Zhiqiao;LIU Xian;LIU Shifeng;BAO Chongyun(Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;Department of Dental Implant, Chengdu Huaxi Dental Implant Hospital, Chengdu 610041, China)

机构地区：[1]四川大学华西口腔医院口腔颌面外科四川大学,四川成都610041 [2]成都华西牙种植医院口腔种植科,四川成都610041

出　　处：《口腔医学研究》2022年第4期325-329,共5页Journal of Oral Science Research

基　　金：国家重点研发计划(编号:2016YFC1102702);四川省科技厅项目(编号:2021YFS0032);四川大学华西口腔医院研究与开发计划(编号:CYJ2020-YY-1)。

摘　　要：目的:针对上颌后牙区骨量不足且伴上颌窦假性囊肿的患者,种植标准程序尚未确定。本试验拟通过对比两种术式的临床效果,评估囊肿减压同期内提升及种植的手术疗效。方法:分为实验组与对照组,分别采用囊肿减压后结合内提升或外提升手法上颌窦增量同期行种植手术。比较两种术式的手术时间,术后疼痛与肿胀情况,种植成功率,囊肿复发率。结果:共34例患者纳入本试验,实验组手术时间为(27.88±3.02)min,明显短于对照组[(34.94±3.50)min,P<0.001],同时术后反应包括疼痛(P<0.05)与肿胀(P<0.001)情况明显好于对照组。种植早期成功率为100%,实验组与对照组均无囊肿复发。结论:上颌窦高位开窗囊肿减压合并上颌窦内提升同期种植的术式,明显缩短了手术时间,且种植成功率高,显著减轻患者术后反应,临床效果良好,值得临床推广。Objective:To compare the clinical effects of two types of operation for patients who had insufficient bone mass in the maxillary posterior region accompanied with maxillary sinus pseudocyst.Methods:Patients were divided into experimental group and control group.In the experimental group,cyst decompression combined with crestal-approach maxillary sinus lifting and implantation was performed simultaneously,while in the control group,cyst decompression combined with lateral-approach maxillary sinus lifting was performed simultaneously.The operation time,postoperative pain and swelling,success rate of implantation,and recurrence rate of cyst were compared between two methods.Results:A total of 34 patients were enrolled in the experiment.The operation time of the experimental group[(27.88±3.02)min]was significantly shorter than that of the control group[(34.94±3.50)min,P<0.001],and the postoperative reaction,including pain(P<0.05)and swelling(P<0.001)was significantly better than that of the control group.The success rate of early implantation was 100%.No cyst recurred in each group.Conclusion:Decompression of cyst in maxillary sinus combined with simultaneous implantation and crestal-approach sinus lifting can significantly shorten the operation time,and the postoperative reaction of patients is significantly reduced with a high success rate of implantation.This method is worthy of clinical promotion.

关 键 词：上颌窦 囊肿 上颌窦提升术 牙种植 

分 类 号：R78[医药卫生—口腔医学]