开窗减压术在青少年颌骨含牙囊肿部分摘除同时保留恒牙胚的临床效果研究  被引量:2

The Clinical Effect of Fenestration Decompression on Partial Removal of Odontogenic Cyst in the Jaw and Retention of Permanent Tooth Germ in Adolescents

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作  者:朱军利[1] 王红元 靳晓晔[1] 吕楚煜 夏琪 ZHU Junli;WANG Hongyuan;JIN Xiaoye;LYU Chuyu;XIA Qi(The Second People's Hospital of Yulin,Yulin 719000,China;The Third People's Hospital of Yulin,Yulin 719000,China;Dingbian County People's Hospital of Yulin City,Yulin 718600,China)

机构地区:[1]榆林市第二医院,陕西榆林719000 [2]榆林市第三医院,陕西榆林719000 [3]榆林市定边县人民医院,陕西榆林718600

出  处:《中国医药指南》2023年第21期5-8,共4页Guide of China Medicine

基  金:榆林市科技计划项目,项目名称:一种牙齿牵引矫治器的研发与临床应用,项目编号:YF-2021-60。

摘  要:目的探究开窗减压术在青少年颌骨含牙囊肿部分摘除同时保留恒牙胚治疗中的临床应用效果。方法选取2020年1月至2022年12月于我院口腔科进行颌骨含牙囊肿部分摘除同时保留恒牙胚治疗的58例患者为对象,按随机数分法将其分为对照组(n=29)与研究组(n=29)。对照组实施传统刮治术的同时拔除恒牙胚治疗,研究组实施开窗减压术同时保留恒牙胚治疗,比较两组术后10 d愈合效果、术后15 d并发症发生情况、术后3、6个月囊腔面积缩小率及治疗前后SF-36评分情况。结果行开窗减压术的研究组患者术中出血量、手术时间及疼痛评分、术后愈合效果、术后并发症发生率、术后囊腔面积缩小率及治疗前后SF-36评分等指标均显著优于对照组的同时,研究组的恒牙胚得以保留并逐步萌出,最终建。研究组患者术中出血量少于对照组,手术时间短于对照组,疼痛评分低于对照组(均P<0.05);研究组患者术后10 d的甲级愈合率显著高于对照组(P<0.05);研究组患者术后15 d内的并发症发生率显著低于对照组(3.45%<37.93%)(P<0.05);研究组患者术后3、6个月的囊腔面积缩小率显著高于对照组(均P<0.001);治疗前,两组患者SF-36评分差异无统计学意义(P>0.05),而治疗后,两组患者SF-36评分均较治疗前显著升高,且研究组高于对照组(P<0.05)。结论开窗减压术在青少年颌骨含牙囊肿部分摘除同时保留恒牙胚中的术后愈合效果良好,复发率降低,同时促进新骨形成快,恒牙胚得以保留而且可以正常建,值得临床推广应用。Objective To investigate the clinical effect of fenestration decompression in the treatment of partial extraction of dental cysts in the jaw and retention of permanent tooth embryos in adolescents.Methods From January 2020 to December 2022,58 patients who underwent partial removal of dental cysts of jaw while retaining permanent tooth embryo were selected as objects,and divided into control group(n=29)and study group(n=29)according to random number score method.The control group was treated with traditional curettage and permanent tooth embryo extraction,while the study group was treated with fenestration decompression and permanent tooth embryo preservation.The healing effect at 10 days after surgery,the incidence of complications at 15 days after surgery,the reduction rate of cyst area at 3 and 6 months after surgery,and the SF-36 score before and after treatment were compared between the two groups.Results Intraoperative blood loss,operative time and pain score,postoperative healing effect,postoperative complication rate,postoperative sac area reduction rate and SF-36 score before and after treatment in the study group were significantly better than those in the control group.Meanwhile,permanent tooth embryos in the study group were preserved and gradually erupted,and finally occlusion was established.The intraoperative blood loss in the study group was less than that in the control group,the operation time was shorter,and the pain score was lower than that in the control group(P<0.05).The grade A healing rate of the study group was significantly higher than that of the control group 10 days after surgery(P<0.05).The complication rate in the study group was significantly lower than that in the control group(3.45%<37.93%)within 15 days after surgery(P<0.05).The reduction rate of capsular area in the study group was significantly higher than that in the control group 3 and 6 months after surgery(P<0.001).Before treatment,there was no statistically significant difference in SF-36 scores between two groups(P>0.05)

关 键 词:含牙囊肿 开窗减压术 颌骨囊肿 青少年 复发率 

分 类 号:R78[医药卫生—口腔医学]

 

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