摘要
目的:对比颌骨囊肿经传统刮治术与开窗减压术治疗后的手术效果、生活质量和预后。方法:回顾性选取2016年1月~2018年7月期间我院收治的90例颌骨囊肿患者的临床资料,上述患者根据手术方式的不同分为A组(n=45,传统刮治术)和B组(n=45,开窗减压术),比较两组患者疗效、临床指标、生活质量和预后。结果:B组患者临床总有效率为97.78%(44/45),高于A组的84.44%(38/45)(P<0.05)。B组患者伤口愈合时间、手术时间、均短于A组,术中出血量少于A组(P<0.05)。两组患者末次随访时情绪、外貌、味觉、疼痛、唾液、咀嚼等项目评分均升高,且B组高于A组(P<0.05)。B组并发症发生率、复发率均低于A组(P<0.05)。结论:与传统刮治术治疗相比,开窗减压术治疗颌骨囊肿,在手术效果、生活质量和预后方面效果显著,具有较高的临床应用价值。
Objective: To compare the operative effect, quality of life and prognosis of patients with cyst of jaw treated by fenestration and decompression and traditional curettage. Methods: The clinical data of 90 patients with jaw cyst who were admitted to our hospital from January 2016 to July 2018 were retrospectively selected. The patients were divided into group A(n=45, traditional curettage) and group B(n=45, fenestration and decompression) according to different surgical methods. The curative effect, clinical indicators,quality of life and prognosis were compared between the two groups. Results: The total clinical effective rate of group B was 97.78%(44/45), which was higher than 84.44%(38/45) of group A(P<0.05). The wound healing time, the operation time in group B were shorter than those in group A, the intraoperative blood loss was less than that in group A(P<0.05). The scores of emotion, appearance, taste, pain,saliva, chewing and other items in the last follow-up of the two groups were higher than those in group A(P<0.05). The rate of complications and recurrence in group B was lower than that in group A(P<0.05). Conclusion: Compared with the traditional curettage, the fenestration and decompression has a significant effect on the operative effect, quality of life and prognosis, and has a higher clinical application value.
作者
李淑华
曹发明
许从平
黄涛
刘安东
LI Shu-hua;CAO Fa-ming;XU Cong-ping;HUANG Tao;LIU An-dong(Department of Dental,Chaohu Hospital Affiliated to Anhui Medical University,Chaohu,Anhui,238001,China;Department of Dental,Anhui Second People's Hospital,Hefei,Anhui,230041,China)
出处
《现代生物医学进展》
CAS
2020年第17期3260-3263,共4页
Progress in Modern Biomedicine
基金
国家自然科学基金青年基金项目(31600627)
安徽省高校自然科学研究项目(ZR2019B02)。
关键词
开窗减压术
传统刮治术
颌骨囊肿
手术效果
生活质量
预后
Fenestration and decompression
Traditional curettage
Jaw cyst
Operative effect
Quality of life
Prognosis
