[1]赵慧娟,姜 娜.根管治疗术对瘘管型根尖周炎患者根尖周炎症的影响[J].医学信息,2020,33(23):109-111.[doi:10.3969/j.issn.1006-1959.2020.23.031]
　ZHAO Hui-juan,JIANG Na.Effect of Root Canal Therapy on Periapical Inflammation in Patients with Fistula Periapical Periodontitis[J].Medical Information,2020,33(23):109-111.[doi:10.3969/j.issn.1006-1959.2020.23.031]
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根管治疗术对瘘管型根尖周炎患者根尖周炎症的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年23期
页码:
109-111
栏目:
临床研究
出版日期:
2020-12-01

文章信息/Info

Title:
Effect of Root Canal Therapy on Periapical Inflammation in Patients with Fistula Periapical Periodontitis
文章编号:
1006-1959（2020）23-0109-03
作者:
赵慧娟; 姜 娜
（天津市宝坻区人民医院口腔科，天津 301800）
Author(s):
ZHAO Hui-juan; JIANG Na
(Department of Stomatology,Baodi District People’s Hospital,Tianjin 301800,China)
关键词:
瘘管型根尖周炎; 根管治疗术; 根管微生物; 急性发病
Keywords:
Fistula periapical periodontitis; Root canal therapy; Root canal microorganism; Acute onset
分类号:
R781.3
DOI:
10.3969/j.issn.1006-1959.2020.23.031
文献标志码:
A
摘要:
目的 探讨瘘管型根尖周炎患者应用根管治疗术对急性发病率及根尖周炎症程度的影响，旨在为临床治疗瘘管型根尖周炎提供参考依据。方法 回顾性收集2017年8月~2019年8月我院口腔科收治的瘘管型根尖周炎患者98例（患牙98颗）临床资料，将采用一次性根管治疗术的50例患者研究资料纳入观察组，将采用传统多次根管治疗术的48例患者研究资料纳入对照组。比较治疗6个月后两组治疗效果、治疗时间、平均疼痛消失时间、根管微生物计数、根尖周指数（CPI）、菌斑指数（PLI）及急性发病率。结果 观察组治疗总有效率为96.00%，高于对照组的89.58%，但差异无统计学意义（P＞0.05）；观察组治疗及平均疼痛消失时间均短于对照组，差异有统计学意义（P＜0.05）；两组治疗6个月后根管微生物计数、CPI指数及PLI均较治疗前降低，差异有统计学意义（P＜0.05），组间比较，差异无统计学意义（P＞0.05）；观察组急性发病率为14.00%，较对照组的4.17%高，但差异无统计学意义（P＞0.05）。结论 瘘管型根尖周炎患者应用多次或一次根管治疗术的治疗效果相近，可有效缓解根尖周炎症程度，而一次性根管治疗术，可显著缩短治疗时间，但急性发病率较高，临床可依据患者实际情况选择治疗方式。
Abstract:
Objective To investigate the effect of root canal therapy on acute incidence and periapical inflammation in patients with fistula periapical periodontitis， and to provide reference for clinical treatment of fistula periapical periodontitis.Methods From August 2017 to August 2019,98 cases of fistula periapical periodontitis (98 teeth) were collected retrospectively. The data of 50 patients with one-time root canal therapy were included in the observation group,and 48 patients with traditional multiple root canal therapy were included in the control group. The treatment effect,treatment time,average pain disappearance time, root canal microbial count, periapical index (CPI), plaque index (PLI) and acute morbidity were compared between the two groups after 6 months of treatment.Results The total effective rate of treatment in the observation group was 96.00%， 89.58% higher than the control group,but the difference was not statistically significant (P＞0.05); Compared with the control group,the treatment of the observation group and the average time of pain disappearance were shortened,the difference was statistically significant (P＜0.05); Root canal microbial count,CPI index and PLI were lower in both groups after 6 months,the difference was statistically significant (P＜0.05); There was no statistically significant difference in root canal microbial count, CPI index and PLI between the two groups after 6 months of treatment (P＞0.05); the acute incidence rate in the observation group was 14.00%, which was higher than 4.17% in the control group, but there was no significant difference (P＞0.05).Conclusion The treatment effect of multiple or one root canal therapy in patients with fistula periapical periodontitis is similar,which can effectively alleviate the degree of periapical inflammation,while one-time root canal therapy can significantly shorten the treatment time,but the acute incidence is high. Therefore,clinical treatment can be selected according to the actual situation of patients.

参考文献/References:

[1]刘家林,王振宁,但德丽.一次性根管治疗术与传统多次性根管治疗术治疗前牙慢性根尖周炎有瘘型的疗效比较[J].安徽医学,2018,39(2):214-217. [2]付素文,白肖佩,冯文珍.一次根管治疗术及多次根管治疗术在慢性根尖周炎中的治疗效果比较[J].检验医学与临床,2019,16(18):2716-2718. [3]罗飏,杨洪清.补肾固齿丸配合盐酸米诺环素软膏治疗窦道型根尖周炎疗效观察[J].现代中西医结合杂志,2018,27(24):62-64. [4]王莉.米诺环素软膏联合替硝唑治疗慢性根尖周炎疗效观察[J].新乡医学院学报,2017,34(7):633-635. [5]张勇哲,王多诚,万莉,等.慢性根尖周炎一次性根管治疗的临床疗效分析[J].中国医刊,2017,52(9):88-91. [6]陈瑞霞,肖玲.一次性与多次根管治疗根尖周炎的近期疗效及对牙槽骨骨密度的影响[J].中国美容医学,2019,28(12):139-142. [7]吐塞力汗,周欣,杨洁,等.慢性根尖周炎根管治疗一次法与多次法疗效的系统评价[J].中华老年口腔医学杂志,2019,17(2):75-79. [8]卢小鹏,孙俊毅.一次性根管与多次法根管治疗牙体牙髓疾病的疗效比较[J].中国临床研究,2017,30(9):1256-1257. [9]谢嘉盛,林少云.多次法与一次法根管治疗慢性牙髓炎、根尖周炎临床疗效对比分析[J].临床军医杂志,2019,47(4):396-397. [10]胡芳,李健.一次性根管治疗术治疗根尖周炎[J].长春中医药大学学报,2017,33(5):124-126.

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更新日期/Last Update: 1900-01-01