中国实用口腔科杂志2024，Vol.17Issue(4)：436-439,447,5.DOI:10.19538/j.kq.2024.04.010
刮治开窗减压术治疗大型下颌骨囊性病变效果研究
Effect of curettage and fenestration decompression in the treatment of large mandibular cystic lesions
摘要
Abstract
Objective To study the clinical effect of curettage and fenestration decompression in the treatment of large mandibular cystic lesions.Methods Clinical and imaging data of 68 patients with large mandibular cystic lesions ad-mitted to the Department of Stomatology of Xuzhou Central Hospital from June 2020 to September 2022 were selected for retrospective analysis.All patients were divided into cystic wall removal group(36 cases)and cystic wall retaining group(32 cases)according to different methods of decompression,and were followed up for more than 1 year to compare the clinical outcomes,the occurrence of postoperative adverse reactions and the rate of secondary surgery between the 2 groups.Results The clinical treatment effectiveness of the cystic wall removal group was 97.22％(35/36),which was slightly higher than that of the cystic wall retaining group[93.75％(30/32)],and the difference was not statistically sig-nificant(x2=0.011,P=0.917).There were no significant differences in the incidence of postoperative adverse reactions such as cheek swelling,lower lip numbness and osteomyelitis between the two groups(all P＞0.05).Four patients in the cystic wall removal group underwent secondary surgery,and their rate of secondary surgery(11.11％)was significantly lower than that of the cystic wall retaining group[75.00％(24/32)],with a statistically significant difference(x2=28.549,P＜0.001).Conclusion Curettage and fenestration decompression for large mandibular cystic lesions has bet-ter results,and most patients need only one operation,which is worth clinical reference.关键词
下颌骨/囊性病变/刮治开窗减压术/刮治术Key words
mandible/cystic lesions/curettage and fenestration decompression/curettage分类
医药卫生引用本文复制引用
魏景健,张爱侠,韩琨,李晓东,马艳红,孟箭,郑浩..刮治开窗减压术治疗大型下颌骨囊性病变效果研究[J].中国实用口腔科杂志,2024,17(4):436-439,447,5.基金项目
国家口腔疾病临床医学研究中心项目(NCRCO202101) （NCRCO202101）
