摘要
目的探讨完整刮治术及开窗引流术治疗中老年颌骨囊肿的临床疗效及预后。方法对2015年6月～2016年6月本院收治的63例颌骨囊肿中老年患者的临床资料进行回顾性分析,33例患者纳入刮治,30例纳入开窗组,比较2组患者手术时间、术中出血量、术后3天局部疼痛或上下唇麻木例数、术后创腔感染及恢复和复发情况。结果开窗组的手术时间、术中出血量分别为（30.88±1.67）min、（9.33±1.06）ml,均小于刮治组的（71.22±2.18）min、（116.24±9.82）ml,差异有统计学意义（P〈0.05）;开窗组术后疼痛或麻木以及创腔感染发生率分别为6.67%（2/30）,均小于刮治的45.45%（15/33）、18.18%（6/33）,差异有统计学意义（P〈0.05）;开窗组在3年内复发0例,刮治组3年内复发7例,总复发率为21.21%（7/33）,与开窗组比较有统计学差异（P〈0.01）。结论开窗引流术适用于颌骨囊肿中老年患者,该术式创伤小、手术时间少、操作简单、预后良好。
Objective To investigate the clinical efficacy and prognosis of complete curettage and fenestration in the treatment of middle and old aged jaw cysts. methods From June 2015 to June 2016 the clinical data of 63 cases of maxillary cyst admitted to our hospital in elderly patients were retrospectively analyzed, 33 patients included curettage, 30 cases were included in the experimental group, compared 2 groups of patients with operation time, intraoperative blood loss, postoperative 3 days local pain or numbness of lower lip cases, postoperative wound cavity infection and recovery and recurrence. Results The operative time, amount of bleeding in the fenestration group respectively （30.88＋1.67）, min （9.33＋1.06） ml, were less than curettage group （71.22＋2.18）, min （116.24＋9.82） ml, the difference was statistically significant （P〈0.05）; fenestration group postoperative pain or numbness and a cavity Hair Coloring rate were 6.67% students （2/30）, were less than 45.45% scaling （15/33）, 18.18% （6/33）, the difference was statistically signifcant （P〈0.05）; The recurrence rate was 21.21% （7/33）, and there was signifcant difference between the two groups （P〈0.01）, and the recurrence rate was 21.21% （7/33）. Conclusion Fenestration drainage is suitable for the elderly patients with jaw cyst. It has the advantages of less trauma, less operation time, simple operation, safe and effective, and the prognosis is superior.
出处
《全科口腔医学电子杂志》
2016年第19期67-68,70,共3页
Electronic Journal of General Stomatology
关键词
中老年
颌骨囊肿
刮治术
开窗引流术
预后
Middle and old age
Jaw cyst
Curettage
Fenestration drainage
Prognosis
