69例根尖周囊肿非手术治疗的回顾分析  

Retrospective analysis of non⁃surgical treatment of periapical cyst⁃like lesions in 69 cases

作　　者：鹿承 鞠金红 刘丽 蒋江涛 丁田 孙金燕 朱可可 LU Cheng;JU JinHong;LIU Li;JIANG JiangTao;DING Tian;SUN Jinyan;ZHU Keke(Department of Stomatology,Heze Mudan People's Hospital,Heze 274000,China;Periodontology Department of Shandong University Stomatological Hospital,Jinan 250012,China;Department of Stomatology,Heze Medical College Affiliated Hospital,Heze 274000,China;Department of Stomatology,First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410007,China)

机构地区：[1]菏泽市牡丹人民医院口腔科,菏泽274000 [2]山东大学口腔医学院,济南250012 [3]菏泽医学专科学校附属医院口腔科,菏泽274000 [4]湖南中医药大学第一附属医院口腔科,长沙410007

出　　处：《广州医科大学学报》2024年第4期27-32,共6页Academic Journal of Guangzhou Medical University

摘　　要：目的:评估非手术治疗根尖周囊肿的临床疗效。方法:选取2021年2月至2023年12月就诊于菏泽市牡丹人民医院口腔科69例符合根尖周囊肿样病变的患者作为研究对象,采用非手术治疗所有治疗都由同一位医生完成。综合临床症状及X线检查结果,进行疗效评估,并根据患者年龄、牙位、根尖阴影直径大小、性别等影响因素进行统计学分析。结果:69例患者中48例(69.6%)评估为治愈,11例(15.9%)改善,10例(14.5%)无效,总体有效率为85.5%。其中年龄>45岁组要低于年龄≤45岁组的治疗有效率,根尖阴影直径≥8 cm组要低于4~7.99 cm组和1~3.99 cm组的治疗有效率,差异具有统计学意义(P<0.05)。牙位(前牙、前磨牙、磨牙)、性别(男女)对治疗有效率的影响差异无统计学意义(P>0.05)。结论:非手术治疗根尖周囊肿有较好的临床疗效,较高的有效率。对于根尖周囊肿治疗中,非手术治疗可以作为年轻患者一个可选方案,损伤小,花费少,疼痛轻,可能是解决较大囊肿样根尖周病变手术治疗的替代方案。Objective:The aim of this study was to evaluate the effect of non⁃surgical treatment on periapical cyst⁃like lesions.Methods:A total of 69 patients with periapical cystic⁃like lesions in the department of stomatology of Heze Mudan People's Hospital from February 2021 to December 2023 were selected as the research subjects.All treatments were performed by the same specialist.After 3 to 24 months of postoperative follow⁃up,clinical and X⁃ray examinations were performed to evaluate the efficacy.Statistical analysis was based on age,tooth position,size of periapical lesion,and gender.Results:Of the 69 patients,48 cases were evaluated as cured,11 cases were evaluated as improved,and 10 cases were ineffective.The total effective rate was 85.5%.The treatment efficiency was lower in the age group above 45 years than that in the age group equal to or below 45 years,and the treatment efficiency was lower in the group with periapical lesion diameter≥8 cm than that in the groups with periapical lesion diameter of 1~3.99 cm and 4~7.99 cm.The difference was statistically significant(P<0.05).There was no statistically significant difference in the treatment effectiveness between the group,the primary root canal treatment tooth position group and gender group(P>0.05).Conclusion:Non⁃surgical treatment has a high success rate for periapical cyst⁃like lesions,which can be used as the preferred method in young patients with Minor damage,low cost and reduced pain level.Possible alternative to surgical treatment of periapical cyst⁃like lesions non⁃surgical.

关 键 词：根尖周囊肿 非手术治疗 根管治疗 

分 类 号：R781.3[医药卫生—口腔医学]