自体吸引术联合开窗减压术治疗大型牙源性颌骨囊肿患者的疗效评价  

Efficacy evaluation of auto-aspiration combined with fenestration decompression in the treatment of patients with large odontogenic jaw cysts

作　　者：刘剑英[1] 王涛[1] Liu Jianying;Wang Tao(Department of stomatology,Zhengzhoup eople's hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州人民医院口腔科,河南郑州450000

出　　处：《齐齐哈尔医学院学报》2022年第4期316-319,共4页Journal of Qiqihar Medical University

摘　　要：目的 分析自体吸引术联合开窗减压术治疗大型牙源性颌骨囊肿患者的疗效。方法 选择2019年11月—2020年11月本院收治的大型牙源性颌骨囊肿患者102例作为研究对象,依据随机数表法分为研究组与对照组两组,每组各51例。对照组接受开窗减压术治疗,研究组采用自体吸引术与开窗减压术治疗,统计对比两组并发症发生率以及术前、术后、术后6个月咬合功能(最大咬合接触面积、咬合力不对称指数、最大咬合力)、术后1个月、3个月、6个月囊肿变化(囊肿体积、面积减少量)。结果 两组时间、组间交互作用下囊肿面积减少量、囊肿体积减少量比较,差异具有统计学意义(P<0.05),且术后1个月、3个月、6个月研究组囊肿面积减少量、囊肿体积减少量多于对照组(P<0.05);术后6个月研究组咬合力不对称指数少于对照组,最大咬合力、最大咬合基础面积大于对照组,且术前、术后6个月差值均高于对照组(P<0.05);研究组并发症发生率(7.84%)与对照组(13.73%)对比,无明显差异(P>0.05);术后3个月、6个月研究组新生骨小梁宽度、厚度优于对照组(P<0.05)。结论 自体吸引术联合开窗减压术治疗大型牙源性颌骨囊肿患者时,可优化囊肿状况,增强咬合功能,促进骨质生长,且未明显增加并发症状况。Objective To analyze the efficacy of auto-aspiration combined with fenestration decompression in the treatment of patients with large odontogenic jaw cysts.Methods A total of 102 patients with large odontogenic jaw cysts who were admitted to our hospital from November 2019 to November 2020 were selected as the research objects. According to the random number table method, they were divided into a study group and a control group, with 51 cases respectively. The control group received fenestration decompression, and the study group was treated with auto-aspiration and fenestration decompression. The complication rate of the two groups, the preoperative and immediate postoperative and 6 months postoperative occlusal function(maximum occlusal contact Area, bite force asymmetry index, maximum bite force), cyst changes(cyst volume, area reduction) at 1 month, 3 months, and 6 months after surgery, were statistically compared.Results The comparison of cyst area reduction and cyst volume reduction under the time and interaction between the two groups was statistically significant, and the reduction in cyst area and cyst volume in the study group at 1 month, 3 months, and 6 months after surgery were more than those of the control group(P<0.05). The bite force asymmetry index of the study group was less than that of the control group at 6 months after the operation. The maximum bite force and the maximum bite base area were larger than those of the control group, and the difference value of the study group were higher than the control group both at preoperative and postoperative 6 months(P<0.05). The complication rate of the study group was 7.84%, and it was 13.73% in the control group, there was no significant difference between the two group(P>0.05). The beam width and thickness of new bone trabeculae are better than those of the control group at 3 months and 6 months after surgery.(P<0.05). Conclusions Auto-aspiration combined with fenestration decompression could optimize the cyst condition, enhance the occlusal functio

关 键 词：自体吸引术 开窗减压术 大型牙源性颌骨囊肿 咬合功能 

分 类 号：R782.2[医药卫生—口腔医学]