摘要
目的 :探讨不同术式治疗牙源性颌骨囊性病变的临床疗效。方法 :回顾分析我院2012年1月—2015年1月收治的144例牙源性颌骨囊性病变患者的临床资料,A组行开窗减压术治疗,B组行完整刮治术治疗。采用SPSS18.0及PEMS3.1软件中的t检验、χ~2检验以及Radit检验,比较2组手术及术后情况的差异。结果:A组患者的手术时间为(36.3±5.7)min,显著少于B组;A组术后疼痛或麻木发生率、术后创腔感染率、术后3年复发率分别为5.45%、0%、3.64%,均显著低于B组(P<0.01);A组患者术后3个月、6个月囊腔面积减少平均百分率均显著高于B组(P<0.01);术后6个月,A组患者总有效率为98.18%,B组为84.27%,A组显著高于B组(P<0.01)。结论:对于大型牙源性颌骨囊性病变患者采取开窗减压术疗效显著,创伤小、复发少,安全性高,值得临床推广应用。
PURPOSE： To compare the clinical effect of decompression and curettage in treatment of odontogenic jaw cystic lesions. METHODS： The clinical data of 144 patients with odontogenic jaw cystic lesions treated from January 2012 to January 2015 in our hospital were retrospectively analyzed. Patients in group A were treated by open window decompression, while patients in group B were treated with complete curettage. Treatment outcomes and complications in 2 groups were compared with SPSS18.0 and PEMS3.1 software package. RESULTS： The operation time of group A was （36.3±5.7） rain, significantly lower than that B; The incidence of postoperative pain or numbness, wound infection, recurrence were respectively 5.45%, 0% and 3.64%, significantly lower than those in group B （P〈0.01）; The average percentage of lesion shrinkage in group A 3 months, 6 months after operation were significantly higher than in group B （P〈 0.01）. The total effective rate 6 months after surgery was 98.18% in group A, 84.27% in group B （P〈0.01）. CONCLUSIONS： For patients with large odontogenic cystic lesions, open window decompression is an efficacious, it is modality of less trauma, less recurrence and high safety, which is worthy of clinical application.
出处
《中国口腔颌面外科杂志》
CAS
2017年第4期341-344,共4页
China Journal of Oral and Maxillofacial Surgery
关键词
负压吸引
开窗减压
牙源性颌骨囊性病变
Negative pressure suction
Open window decompression
Odontogenic jaw cystic lesions
