颌骨囊肿开窗减压术后戴塞治器疗效分析
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摘要
目的追踪下颌囊肿患者囊肿开窗术后应用塞治器,探讨塞治器每日冲洗次数与囊肿恢复快慢的关系。方法通过对47例下颌囊肿患者开窗术后戴塞治器的复诊记录,根据冲洗次数分成两组:A组为≤2次/d,B组为≥3次/d。根据全景片中囊腔缩小的情况来判断疗效,术后疗效用以下形式记录。显效:囊腔最大径缩小≥50%;好转:囊腔最大径缩小<50%;复发:囊腔无明显变化或者增大;愈合归于显效内,有效率以"显效"计算。结果有2例归为无效,A组好转9例,显效8例,复发3例;在B组好转5例,显效18例,复发2例。A组有效率为40.0%,B组为72%,两组有效率差异有统计学意义(χ2=4.66,P=0.03)。结论每日冲洗次数与囊肿恢复情况有明显关系,冲洗次数≥3次/d,患者囊肿愈合情况有明显好转。
Objectives To track patients after mandibular cyst fenestration with the application of plugger device,and to explore the relationship between the frequency of flushing and reduction in cyst diameter. Methods 47 mandibular cyst patients who had fenestration surgery were included in the sample. The patients were divided into two groups according to the number of flushing: Group A flushed≤2 times/day,Group B≥3 times/day. The reduction in cavity size was measured from panoramic radiographs and classified into as follows: effective-the maximum diameter of the cyst reduced by ≥50%; improvement-the maximum diameter of the cyst reduced by <50%; no change or increase in size. Data analysis was conducted by chi-square test. Results Two cases were classified as invalid. In A group,there were 8 cases of effectiveness,9 cases of improvement,and 3 cases of no change or increase in size. In B group,there were 18 cases of effectiveness,5 cases of improvement,and 2 cases of no change or increase in size. The effective rate of group A was 40.0% and in group B it was 72%( χ2= 4.66,P = 0.03). Conclusion There is a significant relationship between daily flushing times and cyst size reduction. Patients who are flushed more than 3 times/day have a greater reduction.
Objectives To track patients after mandibular cyst fenestration with the application of plugger device,and to explore the relationship between the frequency of flushing and reduction in cyst diameter. Methods 47 mandibular cyst patients who had fenestration surgery were included in the sample. The patients were divided into two groups according to the number of flushing: Group A flushed≤2 times/day,Group B≥3 times/day. The reduction in cavity size was measured from panoramic radiographs and classified into as follows: effective-the maximum diameter of the cyst reduced by ≥50%; improvement-the maximum diameter of the cyst reduced by <50%; no change or increase in size. Data analysis was conducted by chi-square test. Results Two cases were classified as invalid. In A group,there were 8 cases of effectiveness,9 cases of improvement,and 3 cases of no change or increase in size. In B group,there were 18 cases of effectiveness,5 cases of improvement,and 2 cases of no change or increase in size. The effective rate of group A was 40.0% and in group B it was 72%( χ2= 4.66,P = 0.03). Conclusion There is a significant relationship between daily flushing times and cyst size reduction. Patients who are flushed more than 3 times/day have a greater reduction.
引文
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[15]徐连本.影响口腔正畸患者依从性的原因分析[J].蚌埠医学院学报,2013,38(7):842-843.
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[18]李明东,管永煜,谭方平,等.碘仿海绵填塞颌骨囊肿摘除后骨腔对创口愈合的影响[J].青岛大学医学院学报,2001,37(3):241-242.
[19]吕凌峰.开窗减压术在治疗颌骨囊肿中的应用及术后感染的预防[J].中国美容医学杂志,2013,22(2):258-260.
[20]杨建,刘向辉,周竹云.开窗减压术联合囊肿塞在颌骨囊肿治疗中的应用[J].口腔颌面外科杂志,2014,24(3):214-216.
[21]王超,马旭亮,张志印.负压引流器在下颌骨囊性病变中的临床应用[J].口腔颌面外科杂志,2015,25(1):62.
[22]姚兆友,王栋.羟基磷灰石生物陶瓷联合口腔修复膜在颌骨囊肿手术中应用[J].中华口腔医学研究杂志(电子版),2016,10(4):277-280.
[23]Grafenberg MR,Kim S,Sorensen D.Pathology quiz case 2.Odontogenic keratocyst(OKC)[J].Arch Otolaryngol Head Neck Surg,2002,128(9):1100-1102.
[2]王晓玲,聂萍,唐艳梅,等.大型颌骨囊肿伴远端埋伏牙的外科-正畸联合治疗[J].临床口腔医学杂志,2016,32(3):146-148.
[3]马兆峰,李石,寇国明.开窗减压联合阻塞器在青少年颌骨囊肿治疗中的应用研究[J].中国美容医学杂志,2016,25(4):32-34.
[4]Torres-Lagares D,Segura-Egea JJ,Rodríguez-Caballero A,et al.Treatment of a large maxillary cyst with marsupialization,decompression,surgical endodontic therapy enucleation[J].J Can Dent Assoc,2011,77:87.
[5]柴志红,王双庆,白京红,等.囊肿塞子在颌骨囊肿开窗减压术中的应用[J].口腔医学,2015,35(9):780-782.
[6]余东升,赵玮,吴晓林,等.开窗减压术与负压吸引术治疗颌骨大型牙源性囊性病变的对比研究[J].中华临床医师杂志,2011,5(14):4093-4099.
[7]寇国明,陈永丰.颌骨囊肿开窗减压术后阻塞器的制作方法及应用[J].口腔颌面修复学杂志,2014,15(6):349-350.
[8]郭立娜,金武龙,杜佼,等.囊肿塞治器在颌骨囊肿开窗减压术中的应用[J].内蒙古医科大学学报,2014,36(2):178-180.
[9]史作慧,樊洪,杨志诚,等.囊腔塞治器在牙源性角化囊性瘤开窗减压术中的临床应用[J].医学理论与实践,2012,25(8):887-889.
[10]赵熠.颌骨囊肿引流装置的开发及术后骨形成的研究[D].武汉:武汉大学,2011.
[11]薛传鹏,刘燕.下颌骨大型角化囊性瘤开窗减压术临床分析[J].中国美容医学杂志,2014,23(17):1435-1438.
[12]陈国栋,卿安蓉.开窗减压术治疗颌骨大型囊性病变[J].广东牙病防治,2014,22(3):144-146.
[13]Anavi Y,Gal G,Miron H,et al.Decompression of odontogenic cystic lesions:Clinical long-term study of 73 cases[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2011,112(2):164-169.
[14]古秋华,徐镔亭,王璐.颌骨囊肿开窗减压术后应用囊肿塞治器患者的牙科焦虑症调查分析[J].第二军医大学学报,2015,36(11):1264-1269.
[15]徐连本.影响口腔正畸患者依从性的原因分析[J].蚌埠医学院学报,2013,38(7):842-843.
[16]周健,杜若鸿.颌骨囊肿的治疗方法及其临床应用[J].口腔颌面外科杂志,2012,22(4):229-232.
[17]Giuliani M,Grossi GB,Lajolo C,et al.Conservative management of a large odontogenic keratocyst:report of a case and review of the literature[J].J Oral Maxillofac Surg,2006,64(2):308-316.
[18]李明东,管永煜,谭方平,等.碘仿海绵填塞颌骨囊肿摘除后骨腔对创口愈合的影响[J].青岛大学医学院学报,2001,37(3):241-242.
[19]吕凌峰.开窗减压术在治疗颌骨囊肿中的应用及术后感染的预防[J].中国美容医学杂志,2013,22(2):258-260.
[20]杨建,刘向辉,周竹云.开窗减压术联合囊肿塞在颌骨囊肿治疗中的应用[J].口腔颌面外科杂志,2014,24(3):214-216.
[21]王超,马旭亮,张志印.负压引流器在下颌骨囊性病变中的临床应用[J].口腔颌面外科杂志,2015,25(1):62.
[22]姚兆友,王栋.羟基磷灰石生物陶瓷联合口腔修复膜在颌骨囊肿手术中应用[J].中华口腔医学研究杂志(电子版),2016,10(4):277-280.
[23]Grafenberg MR,Kim S,Sorensen D.Pathology quiz case 2.Odontogenic keratocyst(OKC)[J].Arch Otolaryngol Head Neck Surg,2002,128(9):1100-1102.