本文關(guān)鍵詞：開窗減壓聯(lián)合生物材料填充治療頜骨大型囊性病變的研究　出處：《口腔醫(yī)學(xué)研究》2016年02期 　論文類型：期刊論文

  更多相關(guān)文章： 開窗減壓術(shù) 硫酸鈣 頜骨 囊性病變

【摘要】：目的:評價開窗減壓術(shù)聯(lián)合生物材料硫酸鈣填充治療頜骨大型囊性病變的臨床療效。方法:選取頜骨大型囊性病變患者70例,隨機均分為觀察組和對照組,觀察組行I期開窗減壓保守治療,待囊腫明顯縮小后行Ⅱ期小囊腫刮除術(shù)并硫酸鈣生物材料充填術(shù);對照組行傳統(tǒng)頜骨囊腫刮除術(shù),同時予以硫酸鈣生物材料充填術(shù)。觀察并比較兩組患者手術(shù)時間、術(shù)中出血量、術(shù)后疼痛及感染、囊腔體積縮小程度、骨質(zhì)增生厚度及骨密度值、術(shù)后復(fù)發(fā)率及神經(jīng)性并發(fā)癥發(fā)生情況。結(jié)果:兩組患者手術(shù)時間、術(shù)中出血量、術(shù)后疼痛及感染發(fā)生率相比差異具有統(tǒng)計學(xué)意義(P0.05);術(shù)后6月各指標(biāo)較術(shù)后3月均明顯改善,觀察組術(shù)后3、6月囊腔縮小值、術(shù)后骨質(zhì)增生厚度、術(shù)后骨質(zhì)密度值均優(yōu)于對照組,差異具有統(tǒng)計學(xué)意義(P0.05);術(shù)后均隨訪12~24月,對照組1例復(fù)發(fā),觀察組無復(fù)發(fā),差異無統(tǒng)計學(xué)意義。結(jié)論:采用開窗減壓術(shù)治療頜骨大型囊性病變手術(shù)創(chuàng)傷小,可保護囊腫周圍血管神經(jīng)等重要結(jié)構(gòu);在囊腫刮出后采用醫(yī)用硫酸鈣充填缺損骨腔,防止軟組織嵌入,加快了成骨速度,降低術(shù)后復(fù)發(fā)。
[Abstract]:Objective: to evaluate the clinical efficacy of fenestration decompression combined with calcium sulfate filling in the treatment of maxillary large cystic lesions. Methods: 70 patients with maxillary large cystic lesions were randomly divided into observation group and control group. The patients in the observation group were treated with stage I fenestration and conservative decompression. After the cysts were obviously reduced, the patients in the observation group were treated with stage 鈪，

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