显微超声技术结合锥形束CT或X线片治疗牙髓钙化效果对比  

Comparison of the effect of micro-ultrasound combined with cone beam CT or X-ray in the treatment of pulp calcification

作　　者：彭华刚 龚乃胜[1] 徐济群 PENG Huagang;GONG Naisheng;XU Jiqun(Department of Stomatology,Hefei Third Clinical College of Anhui Medical University/The Third People’s Hospital,Hefei,Anhui 230022,China)

机构地区：[1]安徽医科大学合肥第三临床学院/合肥市第三人民医院口腔科,合肥230022

出　　处：《重庆医学》2023年第18期2785-2788,共4页Chongqing medicine

基　　金：安徽省高校自然科学重点研究项目(KJ2018A0169)。

摘　　要：目的 比较显微超声技术结合锥形束CT(CBCT)或X线片治疗牙髓钙化的效果。方法 回顾性分析2018年5月至2022年5月该院收治的80例(80颗患牙)牙髓钙化患者的临床资料,依据治疗方法的不同分为两组:CBCT组(43例)给予显微超声技术结合CBCT治疗,X线组(37例)给予显微超声技术结合X线片治疗。比较两组患者钙化根管发现率、根管疏通率、治疗成功率、不同钙化部位治疗效果,以及治疗期间并发症发生情况。结果 CBCT组钙化根管发现率(97.67%vs. 83.78%)、根管疏通率(93.02%vs. 72.97%)均明显高于X线组(P<0.05)。CBCT组治疗成功率为90.70%,明显高于X线组的67.57%(P<0.05)。CBCT组牙髓钙化部位上、中段的治疗效果均明显优于X线组(P<0.05),两组牙髓钙化部位下段的治疗效果无明显差异(P>0.05)。CBCT组治疗期间并发症总发生率明显低于X线组(4.65%vs. 18.92%,P<0.05)。结论 与显微超声技术结合X线片治疗相比,牙髓钙化患者采用显微超声技术结合CBCT治疗可取得良好的治疗效果,并且可以减少并发症的发生。Objective To compare the effect of micro-ultrasound combined with cone beam CT(CBCT)or X-ray in the treatment of pulp calcification.Methods The clinical data of 80 patients(80 affected teeth)with pulp calcification admitted to this hospital from May 2018 to May 2022 were analyzed retrospectively.They were divided into two groups according to the different treatment methods,the CBCT group(43 cases treated with micro-ultrasound combined with CBCT)and the X-ray group(37 cases treated with micro-ultrasound combined with X-ray).The detection rate of calcified root canals,root canal dredging rate,treatment success rate,treatment effect of different calcification sites,and the occurrence of complications during treatment were compared between the two groups.Results The detection rate of calcified root canals(97.67%vs.83.78%)and root canal dredging rate(93.02%vs.72.97%)in the CBCT group were higher than those in the X-ray group(P<0.05).The success rate of treatment in the CBCT group was 90.70%,which was higher than that in the X-ray group(67.57%,P<0.05).In the CBCT group,the treatment effect of upper and middle pulp calcification sites was higher than that of the X-ray group(P<0.05),and there was no significant difference between the two groups in the treatment effect of lower segment treatment(P>0.05).The total incidence of complications during treatment in the CBCT group was lower than that in the X-ray group(4.65%vs.18.92%,P<0.05).Conclusion Compared with micro-ultrasonic technique combined with X-ray therapy,micro-ultrasonic technique combined with CBCT can achieve good therapeutic effects,and reduce the incidence of complications in patients with pulp calcification.

关 键 词：牙髓钙化 显微超声技术 锥形束CT X线片 钙化部位 

分 类 号：R781.05[医药卫生—口腔医学]