144例显微根尖外科手术疗效观察及分析

›› 2016, Vol. 36 ›› Issue (5): 445-448.

144例显微根尖外科手术疗效观察及分析

邹进¹,汪小彤²,刘卫红¹,张光东³,王娟⁴,石炜¹

1. 江苏省口腔医院
2. 南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院牙体牙髓科
3. 南京医科大学附属口腔医院
4. 南京医科大学附属江苏省口腔医院

收稿日期:2015-12-04 修回日期:2016-01-08 出版日期:2016-05-28 发布日期:2016-06-01
通讯作者: 邹进 E-mail:njzoujin@sina.com

Received:2015-12-04 Revised:2016-01-08 Online:2016-05-28 Published:2016-06-01

摘要/Abstract

摘要： 目的通过对显微根尖手术后患者临床随访评估，探讨显微根尖手术的成功率以及相关预后影响因素，为无法行根管治疗的复杂根尖周病的治疗提供参考。方法对2012年至2014年底在我院行显微根尖手术的144例患者进行1年随访，进行患者主观症状、临床检查以及拍摄根尖X线片相关资料收集，综合评估显微根尖手术疗效，并统计分析性别、年龄及牙位预后影响因素。结果对144例患者共190颗患牙相关资料进行分析，1年有效率达92.63%（176颗），无效率为7.37%（14颗）。统计学分析结果显示患者的性别、年龄及牙位分布对显微根尖外科手术的预后无明显影响。结论显微根尖外科手术可以有效治疗复杂根尖周病变的有效方法，值得临床推广。

关键词: 根尖周病变, 显微根尖外科手术

Abstract: Objective To evaluate the success rate and potential prognostic factors of apical microsurgery and provide references for treating complex periapical diseases which cannot be cured through root canal therapy. Method 144 patients who received apical microsurgery from 2012 to 2014 in our hospital were followed up for one year, 190 teeth in total. Therapeutic effect of apical microsurgery was evaluated by improvement in symptoms, clinical examination and radiographical examination. Statistical analysis was used to analyze the prognostic factors of gender, age, and tooth position. Results The one year success rate was 92.63% (176 teeth) and the failure rate is 7.37% (14 teeth). Gender, age and tooth location had no significant influences on the outcome of apical microsurgery. Conclusion Apical microsurgery provides an effective method for treating complex periapical diseases, and is worthy of being applied in clinic.

中图分类号:

R781.3

邹进汪小彤刘卫红张光东王娟石炜. 144例显微根尖外科手术疗效观察及分析[J]. , 2016, 36(5): 445-448.

参考文献

[1]Setzer FC,Shah SB,Kohli MR,et al.Outcome of endodontic surgery: a meta-analysis of the literature: part 1: comparison of traditional root-end surgery and endodontic microsurgery[J].J Endod,2010,36(11):1757-1765
[2]Polycarpou N,Ng YL,Canavan D,et al.Prevalence of persistent pain after endodontic treatment and factors affecting its occurrence in cases with complete radiographic healing[J].Int Endod J,2005,38(3):169-178
[3]Molven O,Halse A,Grung B.Incomplete healing(scar t5)after periapical surgery: radiographic findings 8 to 12 1996s after treatment[J].J Endod,1996,22(5):264-268
[4]王捍国,李丹,田宇,等.显微根尖外科手术 180 例回顾性分析[J].中华口腔医学杂志,2014,49(7):421-427
[5]Su L,Gao Y,Yu C,et al.Surgical endodontic treatment of refractory periapical periodontitis with extraradicular biofilm[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2010,110(1):e40-44
[6]申静,张海峰,靳淑凤,等.54例持续性根尖周炎的显微根尖外科手术1年疗效观察[J].华西口腔医学杂志,2012,30(4):388-392
[7]Song M,Jung IY,Lee SJ,et al.Prognostic factors for clinical outcomes in endodontic microsurgery: a retrospective study[J].J Endod,2011,37(7):927-933
[8]Kim S,Kratchman S.Modern endodontic surgery concepts and practice: a review[J].J Endod,2006,32(7):601-623
[9]Song M,Chung W,Lee SJ,et al.Long-term outcome of the cases classified as successes based on short-term follow-up in endodontic microsurgery[J].J Endod,2012,38(9):1192-1196
[10]Kim E,Song JS,Jung IY,et al.Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal–endodontic origin[J].J Endod,2008,34(5):546-551
[11]Song M,Kim HC,Lee W,et al.Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery[J].J Endod,2011,37(11):1516-1519
[12]Baek SH,Lee WC,Setzer FC,et al.Periapical bone regeneration after endodontic microsurgery with three different root-end filling materials: amalgam,SuperEBA,and mineral trioxide aggregate[J].J Endod,2010,36(8):1323-1325
[13]Song M,Shin SJ,Kim E.Outcomes of endodontic micro-resurgery: a prospective clinical study[J].J Endod,2011,37(3):316-320
[14]Setzer FC,Kohli MR,Shah SB,et al.Outcome of endodontic surgery: a meta-analysis of the literature—part 2: comparison of endodontic microsurgical techniques with and without the use of higher magnification[J].J Endod,2012,38(1):1-10
[15]Song M,Kim E.A prospective randomized controlled study of mineral trioxide aggregate and super ethoxy–benzoic acid as root-end filling materials in endodontic microsurgery[J].J Endod,2012,38(7):875-879
[16]Del Fabbro M,Taschieri S.Endodontic therapy using magnification devices: a systematic review[J].J Dent,2010,38(4):269-275