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马 浩1 卡米拉·艾山江2.开窗减压术治疗颌骨囊肿的疗效评价[J].中国现代医生,2021,59(27):82-85
开窗减压术治疗颌骨囊肿的疗效评价
Evaluation of the curative effect of fenestration decompression in treating jaw cysts
  
DOI:
中文关键词:  开窗减压术  刮治术  颌骨囊肿  治疗效果
英文关键词:Fenestration decompression  Curettage  Jaw cyst  Treatment effect
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作者单位
马 浩1 卡米拉·艾山江2 1.西宁市口腔医院口腔外科青海西宁 8100002.西宁市口腔医院修复重建外科青海西宁 810000 
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中文摘要:
      目的 分析开窗减压术治疗颌骨囊肿患者的临床疗效。方法 选取2019 年2 月至2020 年6 月就诊的100例颌骨囊肿患者,所有患者均经X线和术后病理证实。采用随机数字表法分为对照组和观察组,每组各50例,对照组患者采用传统刮治术,观察组患者采用开窗减压术,比较两组患者的手术时间、术中出血量、术区疼痛程度、囊肿体积缩小程度、伤口愈合情况和术后新生骨质骨体积分数。结果 观察组患者手术时间、术中出血量、术后疼痛评分均低于对照组,囊腔体积缩小程度高于对照组,两组比较,差异有统计学意义(P<0.05);观察组患者创面甲级愈合率为94.00%(47/50),乙级为6.00%(3/50),丙级为0(0/50),对照组患者创面甲级愈合率为76.00%(38/50),乙级为18.00%(9/50),丙级为6.00%(3/50),观察组患者创面愈合程度明显优于对照组,但术后3 个月和6 个月新生骨质骨体积分数低于对照组,两组比较,差异有统计学意义(P<0.05)。结论 针对颌骨囊肿治疗,开窗减压术具有明显的治疗效果且临床上操作简单、创伤小、可最大化保留牙齿和颌骨的完整性,便于在临床上广泛推广和应用。
英文摘要:
      Objective To analyze the clinical effect of fenestration decompression in the treatment of patients with jaw cysts.Methods A total of 100 patients with jaw cyst from February 2019 to June 2020 were selected.All patients were confirmed by X-ray and postoperative pathology.The patients were randomly divided into the control group (n=50) and the observation group (n=50) according to random number table method.The patients in the control group received traditional curettage,while the patients in the observation group received fenestration decompression.Finally,the operation time,intraoperative blood loss,operation area pain,cyst volume reduction,wound healing,and postoperative new bone volume fraction of the two groups were analyzed.Results The operation time,intraoperative blood loss,and pain score of the observation group were lower than those of the control group,and the degree of cyst volume reduction was higher than that of the control group.The difference between the two groups was statistically significant(P<0.05).In the observation group,the wound healing rate of grade A was 94.00% (47/50),grade B was 6.00% (3/50),grade C was 0 (0/50).In the control group,the wound healing rate of grade A was 76.00% (38/50),grade B was 18.00% (9/50),grade C was 6.00% (3/50).The wound healing degree of the observation group was significantly better than that of the control group.The volume fraction of new bone at 3 and 6 months after surgery in the observation group was lower than the control group,and the difference between the two groups was statistically significant (P<0.05).Conclusion For the treatment of jaw cysts,fenestration decompression,has an obvious therapeutic effect and is simple in clinical operation,less trauma,and can maximize the integrity of teeth and jaws,which is convenient for wide promotion and application in the clinic.
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