›› 2021, Vol. 41 ›› Issue (12): 1117-1120.

• 临床研究 • 上一篇    下一篇

较大根尖囊状病变的非手术根管治疗疗效分析

吴成勇1,2   

  1. 1.
    2. 南通大学附属建湖医院口腔科
  • 收稿日期:2021-09-06 修回日期:2021-09-22 出版日期:2021-12-28 发布日期:2021-12-31
  • 通讯作者: 吴成勇 E-mail:jsjhwcy@163.com

Clinic efficiency analysis of non-surgical root canal treatment of large periapical cyst-like lesions

  • Received:2021-09-06 Revised:2021-09-22 Online:2021-12-28 Published:2021-12-31

摘要: 目的 分析较大根尖囊状病损的非手术根管治疗的疗效。方法 自2015年1月至2020年12月就诊于南京医科大学附属口腔医院的根尖透射影最大径大于10mm,边界清析根尖囊状病损的60例,其中A组32例患牙仅通过规范完善的根管治疗,B组28例在进行完善根管治疗后进行外科病变清除术,术后进行定期随访观察。结果 经过3-18月的随访,A组32例患者中12例愈合,16例改善,4例根尖未见明显变化,有效率达87.5%;B组28例患者治愈16例,好转12例,有效率达100%。经统计学检验,两组间没有显著性差异(P>0.05)。结论 非手术治疗对根尖周囊状病损有较高的成功率。在没有急性症状的较大根尖囊状病变的患牙,非手术治疗应作为首选治疗方法。

关键词: 根尖囊状病损, 非手术根管治疗, 有效率

Abstract: Objective To analyze the effect of Non-surgical Root canal therapy for large Periapical cyst-like lesions. Methods From January 2015 to December 2020, 60 cases of periapical cystic lesions with the maximum diameter of more than 10mm were treated in the Affiliated Stomatological Hospital of Nanjing Medical University, in which,there are 32 cases only treated with none-surgical root canal treatment in group A , and the other 28 cases in group B with apical surgery after root canal therapy. Then regular follow-up observation was carried out after treatment. Results After 3-18 months of follow-up, 12 of the 32 patients in group A healed, 16 improved, 4 did not see significant changes in the root lesion, the effective rate was 87.5%. Of the 28 patients in group B, 16 were cured and 12 were improved, with an effective rate of 100%. Statistically, there was no significant difference between the two groups (P>0.05). Conclusion Non-surgical treatment has a high success rate for large periapical cyst-like lesions, which can be used as the preferred method for large apical cystic lesions without acute symptoms.

Key words: Periapical cyst-like lesions , Non-surgical treatment Root canal therapy , effective