摘要
目的观察应用铒激光与传统手术切除治疗口腔黏液囊肿的疗效对比情况。方法选取我院2013年3月至2014年5月在口腔科治疗的口腔黏液囊肿患者63例。依据治疗方案的不同分为实验组(32例)及对照组(31例),分别给予铒激光和传统手术切除治疗,术后随访2年,比较两组的治疗效果。结果实验组的临床总有效率与对照组比较,差异无统计学意义(P>0.05);实验组患者手术时间显著短于对照组,且术中无出血,术后出现水肿及瘢痕的发生率显著低于对照组,差异均有统计学意义(P<0.05),而两组术后复发率比较无明显差异(P>0.05);实验组患者术前及术后3 d的SAS评分及焦虑抑郁人数均显著低于对照组(P<0.05),而两组患者术后1周的SAS评分及焦虑抑郁人数比较差异无显著性(P>0.05)。结论铒激光在治疗口腔黏液囊肿的疗效与传统手术治疗相近的情况下,操作简便,术后并发症少,对患者心理负面影响较小,患者易于接受,值得临床推广应用。
Objective To observe the effects of Er-YAG and surgical resection in the treatment of oral cavity mucous cyst. Methods A total of 63 patients with oral cavity mucous cyst, selected in our hospital from March 2013 to May 2014, were divided into control group （n = 31 ） and experimental group （n = 32） based on different therapies. The oral cavity mucous cysts in the experimental group and the control group were treated with Er- YAG and surgical resection, respectively. The two groups were compared in terms of therapeutic effect. Results The cure rate in the two groups had no significant difference （P〉0.05）. The operation time in the experiment group was significantly shorter than the control group （P 〈 0.05）. In the experiment group, the incidence of intraoperative blood loss, postoperative edema and postoperative scarring were significantly lower than those of the control group （P〈0.05） , but the two-year recurrence rate in the two groups had no significant difference （P〉0.05）. The SAS scores had no significant difference between the two groups at 1 week after operation （P 〉 0.05 ） , but they were significantly higher in the experiment group than in the control group before operation and 3 days after operation （P 〈 0.05）. In HAD emotional determination, the numbers of patients who had the manifestation of anxiety and depression in the experiment group were smaller than control group before operation and 3 days after operation （P〈0.05） , but there was no significantly difference between the two groups at 1 week after operation （P 〉 0.05）. Conclusions The curative effect of Er-YAG in the treatment of oral mucous cysts is close to that by the conventional surgery, but the former is advantageous for easier operation, less postoperative complications and alleviation of patients＇ psychology pressure, worthy of clinical spreading.
出处
《实用医学杂志》
CAS
北大核心
2017年第13期2157-2160,共4页
The Journal of Practical Medicine
