华西口腔医学杂志2026，Vol.44Issue(3)：329-336,8.DOI:10.7518/hxkq.2026091
根尖周病变范围对显微根尖手术影响的分析与处理
Analysis and management of the influence of periapical lesion size on endodontic microsurgery
摘要
Abstract
Endodontic microsurgery is a critical treatment option that is often considered when conventional root ca-nal therapy fails or when complex periapical diseases cannot be resolved through non-surgical treatment.The clinical out-comes of endodontic microsurgery are influenced by multiple factors.Among these,the size of the periapical lesion is considered a key variable that can significantly impact surgical design,operative difficulty,postoperative infection con-trol,and tissue healing.This article systematically discusses the mechanisms by which the size of periapical lesions af-fects the efficacy of endodontic microsurgery,preoperative assessment methods,intraoperative management strategies,and prognostic correlations.On the basis of existing evidence from evidence-based medicine,clinical management re-commendations are proposed to provide a theoretical foundation and operational guidance for clinical practice.关键词
显微根尖手术/根尖周病变范围/贯通型骨缺损/边缘型骨缺损Key words
endodontic microsurgery/periapical lesion size/through-and-through defect/apico-marginal defect分类
医药卫生引用本文复制引用
黄湘雅,曾凯,杨蕊琦,韦曦..根尖周病变范围对显微根尖手术影响的分析与处理[J].华西口腔医学杂志,2026,44(3):329-336,8.基金项目
Fund of Guangdong Provincial Clinical Research Center of Oral Diseases(GHKQ-202406-L2) （GHKQ-202406-L2）
Fund on Undergraduate Teaching Reform of Guangdong Provincial Clinical Teaching Base(2025JD183) （2025JD183）
Fund of Sun Yat-sen University's Program for Teaching Quality and Educational Reform(87000-12253001,87000-12220011) 广东省口腔疾病临床医学研究中心专项基金(GHKQ-202406-L2) （87000-12253001,87000-12220011）
广东省临床教学基地本科教学改革研究项目(2025JD183) （2025JD183）
中山大学教学质量与教学改革工程类项目(87000-12253001,87000-12220011) （87000-12253001,87000-12220011）
