基于根管治疗联合开窗引流术在牙源性颌骨囊肿患者中的临床应用效果  

Clinical Application Effect of Root Canal Therapy Combined with Fenestration Drainage in Patients with Odontogenic Jaw Cyst

作　　者：朱玉梅 钟玉琳 刘伶英 唐绍荣 ZHU Yumei;ZHONG Yulin;LIU Lingying;TANG Shaorong(Department of Stomatology,Anyuan County People's Hospital,Anyuan 342100,Jiangxi,China)

机构地区：[1]安远县人民医院口腔科,江西安远342100

出　　处：《医学信息》2024年第20期139-142,共4页Journal of Medical Information

基　　金：赣州市科技计划项目(编号:GZ2023ZSF387)。

摘　　要：目的研究根管治疗联合开窗引流术在牙源性颌骨囊肿患者中的临床应用效果。方法以2022年1月-2023年6月安远县人民医院收治的72例牙源性颌骨囊肿患者为研究对象,行随机数字表法分为对照组与观察组,各36例。两组均给予根管治疗,在此基础上,对照组采用传统完整刮治术治疗,观察组应用开窗引流术治疗,比较两组手术指标(手术时间、术中出血量)、囊腔变化情况(囊腔体积减少量、囊腔面积减少量、骨密度值)、疼痛程度[视觉模拟评分(VAS)]、并发症、治疗效果及复发情况。结果观察组手术时间、术中出血量、术后VAS评分均少于对照组(P<0.05)。术后3个月,观察组囊腔体积减少量、囊腔面积减少量、骨密度值均大于对照组(P<0.05)。两组治疗后VAS评分均低于治疗前,且观察组低于对照组(P<0.05)。观察组并发症发生率为5.56%,低于对照组的25.00%(P<0.05)。观察组治疗有效率为97.22%,高于对照组的80.56%(P<0.05)。观察组复发率为2.78%,低于对照组的16.67%(P<0.05)。结论根管治疗联合开窗引流术手术时间短、出血少,可有效减轻牙源性颌骨囊肿患者疼痛程度,缩小其囊腔,降低患者的并发症及复发风险,具有较高治疗有效性及安全性。Objective To study the clinical effect of root canal therapy combined with fenestration and drainage in patients with odontogenic jaw cysts.Methods A total of 72 patients with odontogenic jaw cysts admitted to Anyuan County People's Hospital from January 2022 to June 2023 were randomly divided into control group and observation group,with 36 patients in each group.Both groups were treated with root canal therapy.On this basis,the control group was treated with traditional complete curettage,and the observation group was treated with fenestration drainage.The surgical indexes(operation time,intraoperative blood loss),cystic cavity changes(cystic cavity volume reduction,cystic cavity area reduction,bone mineral density),pain degree[visual analogue scale(VAS)],complications,treatment effect and recurrence were compared between the two groups.Results The operation time,intraoperative blood loss and postoperative VAS score of the observation group were less than those of the control group(P<0.05).At 3 months after operation,the reduction of cyst volume,cyst area and bone mineral density in the observation group were higher than those in the control group(P<0.05).The VAS scores of the two groups after treatment were lower than those before treatment,and the observation group was lower than the control group(P<0.05).The incidence of complications in the observation group was 5.56%,which was lower than 25.00%in the control group(P<0.05).The effective rate of treatment in the observation group was 97.22%,which was higher than 80.56%in the control group(P<0.05).The recurrence rate of the observation group was 2.78%,which was lower than 16.67%of the control group(P<0.05).Conclusion Root canal therapy combined with fenestration drainage has short operation time and less bleeding,which can effectively reduce the pain degree of patients with odontogenic jaw cyst,reduce the cyst cavity,reduce the complications and recurrence risk of patients,and has high treatment effectiveness and safety.

关 键 词：牙源性颌骨囊肿 开窗引流术 根管治疗 完整刮治术 

分 类 号：R782[医药卫生—口腔医学]