儿童混合牙列期颌骨囊肿开窗减压术与超声骨刀切除术疗效比较
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摘要
目的:比较儿童混合牙列期颌骨囊肿开窗减压术与超声骨刀切除术的临床疗效。方法:纳入颌骨囊肿患儿38例,随机分为2组(n=19)。观察组行超声骨刀切除术,对照组行开窗减压术,对比两组疗效和术中出血、疼痛等项手术指标,并进行统计分析。结果:观察组和对照组患儿的治疗有效率分别为94. 74%和73. 68%(P <0. 05);观察组患儿的术中出血量、疼痛评分、发生感染和复发人数均显著低于对照组(P <0. 05);两组手术时间比较则无显著差异(P> 0. 05)。结论:在治疗儿童混合牙列期颌骨囊肿疾病时,采取超声骨刀切除术可提升疗效,且能够缓解术后疼痛感,减少复发几率。
AIM : To study the effects of fenestration and decompression and ultrasonic osteotomy in the treatment of jaw cyst for the children with mixed dentition. METHODS: 38 children with jaw cysts were randomly divided into 2 groups( n = 19). The children in the test group were treated with ultrasonic osteotomy,in the control group were treated with fenestration and decompression, and the therapeutic effects were comared between groups.RESULTS: The effective rate of the test and control groups was 94. 74% and 73. 68% respectively( P < 0. 05). The amount of bleeding,pain score,infection and cyst recurrence in the test group were less than those in the control group( P < 0. 05). There was no difference in operative time( P > 0. 05) between the 2 groups. CONCLUSION: Ultrasound osteotomy can not only improve the therapeutic effect,but also relieve postoperative pain and reduce the recurrence rate.
AIM : To study the effects of fenestration and decompression and ultrasonic osteotomy in the treatment of jaw cyst for the children with mixed dentition. METHODS: 38 children with jaw cysts were randomly divided into 2 groups( n = 19). The children in the test group were treated with ultrasonic osteotomy,in the control group were treated with fenestration and decompression, and the therapeutic effects were comared between groups.RESULTS: The effective rate of the test and control groups was 94. 74% and 73. 68% respectively( P < 0. 05). The amount of bleeding,pain score,infection and cyst recurrence in the test group were less than those in the control group( P < 0. 05). There was no difference in operative time( P > 0. 05) between the 2 groups. CONCLUSION: Ultrasound osteotomy can not only improve the therapeutic effect,but also relieve postoperative pain and reduce the recurrence rate.
引文
[1]Souki BQ,Pimenta GB,Franco LP,et al.Changes in vertical dentofacial morphology after adeno-/tonsillectomy during deciduous and mixed dentitions mouth breathing children-1year follow-up study[J].Int J Pediatr Otorhinolaryngol,2010,74(6):626-632.
[2]杜佼,格根塔娜,金武龙.开窗,负压吸引,刮治术治疗牙源性颌骨囊性病变的对比研究[J].中国口腔颌面外科,2013,11(1):66-70.
[3]张志康,俞光岩.口腔颌面外科学[M].7版.北京:人民卫生出版社,2012:306-307.
[4]冯雪峰,肖迪,王如.带环唇弓囊肿塞治器在下颌骨囊肿开窗减压术中的应用[J].口腔医学研究,2016,32(2):147-149.
[5]Nakamura N,Mitsuyasu T,Mitsuyasu Y,et al.Marsupialitstion for odontogenic keratocyats;long-term follow-up analysis of the effectsand changes in grouth characteristics[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2002,94(5):543-553.
[6]靳松.完整刮治术及开窗引流术治疗颌骨囊肿的疗效及预后对比[J].实用临床医药杂志,2013,17(7):74-76.
[7]徐江.开窗减压术与传统颌骨囊肿刮治术治疗颌骨囊肿的疗效比较[J].河北医学,2014,20(12):2017-2020.
[8]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.
[9]Gill JB,Levin A,Burd T,et al.Corrective osteotomies in spine surgery[J].J Bone Joint Surg Am,2008,90(11):2509-2520.
[10]郑丽,陈铭晟,王璐,等.艾森克人格因素对颌骨囊肿开窗减压术后应用塞制器患儿牙科焦虑症和疼痛的影响研究[J].口腔医学研究,2017,33(9):978-981.
[11]刘学光,付强,孙振中,等.超声骨刀与高速磨钻在颈椎后路全椎板切除减压手术应用中的比较研究[J].中国脊柱脊髓杂志,2017,27(6):539-544.
[12]Dempf R,Teltzrow T,Kramer FJ,et al.Alveolar bone grafting in patients with complete clefts:a comparative study between secondary and tertiary bone grafting[J].Cleft Palate Craniofac J,2002,39(1):18-25.
[2]杜佼,格根塔娜,金武龙.开窗,负压吸引,刮治术治疗牙源性颌骨囊性病变的对比研究[J].中国口腔颌面外科,2013,11(1):66-70.
[3]张志康,俞光岩.口腔颌面外科学[M].7版.北京:人民卫生出版社,2012:306-307.
[4]冯雪峰,肖迪,王如.带环唇弓囊肿塞治器在下颌骨囊肿开窗减压术中的应用[J].口腔医学研究,2016,32(2):147-149.
[5]Nakamura N,Mitsuyasu T,Mitsuyasu Y,et al.Marsupialitstion for odontogenic keratocyats;long-term follow-up analysis of the effectsand changes in grouth characteristics[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2002,94(5):543-553.
[6]靳松.完整刮治术及开窗引流术治疗颌骨囊肿的疗效及预后对比[J].实用临床医药杂志,2013,17(7):74-76.
[7]徐江.开窗减压术与传统颌骨囊肿刮治术治疗颌骨囊肿的疗效比较[J].河北医学,2014,20(12):2017-2020.
[8]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.
[9]Gill JB,Levin A,Burd T,et al.Corrective osteotomies in spine surgery[J].J Bone Joint Surg Am,2008,90(11):2509-2520.
[10]郑丽,陈铭晟,王璐,等.艾森克人格因素对颌骨囊肿开窗减压术后应用塞制器患儿牙科焦虑症和疼痛的影响研究[J].口腔医学研究,2017,33(9):978-981.
[11]刘学光,付强,孙振中,等.超声骨刀与高速磨钻在颈椎后路全椎板切除减压手术应用中的比较研究[J].中国脊柱脊髓杂志,2017,27(6):539-544.
[12]Dempf R,Teltzrow T,Kramer FJ,et al.Alveolar bone grafting in patients with complete clefts:a comparative study between secondary and tertiary bone grafting[J].Cleft Palate Craniofac J,2002,39(1):18-25.