資源描述：
《擴大根尖狹窄區(qū)治療根尖周炎臨床觀察.doc》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、擴大根尖狹窄區(qū)治療根尖周炎臨床觀察doi：10.3969/j.issn.1007-614x.2014.15.54摘耍冃的：探討擴大根尖狹窄區(qū)治療根尖周炎的臨床療效。方法：2010年1月-2013年10月收治根尖周炎患者80例，隨機分成對照組和觀察組，各40例，對照組采用傳統(tǒng)根管治療術(shù)進行治療，觀察組采用擴大根管狹窄區(qū)治療術(shù)進行治療。結(jié)果：觀察組超充1例，術(shù)后持續(xù)牙齦腫脹1例，慢性牙齦炎1例。對照組欠充4例，超充6例，殘余5例，術(shù)后持續(xù)牙齦腫脹7例，慢性牙齦炎8例。兩組比較差異有統(tǒng)計學意義(P〈0?05)o經(jīng)過6?27個月的隨訪，觀察組復發(fā)2例，復發(fā)率5.0%,對照組復發(fā)11
2、例，復發(fā)率27.5%,兩組比較差異有統(tǒng)計學意義(P<0.05)e結(jié)論:擴大根尖狹窄區(qū)治療根尖周炎復發(fā)率低，臨床療效佳，值得推廣。關(guān)鍵詞擴大根尖狹窄區(qū)術(shù)根尖周炎牙齦疼痛ClinicalobservationofexpandingtheapicalconstrictiontreatmentoftheperiapicalperiodontitisZhangWenyanDepartmentofStomatology,thePeople'sHospitalofLiuzhiSpecialDistrict(LiupanshuiCity,Guizhou),553000AbstractObj
3、ective:Toinvestigatetheclinicaleffectofexpandingtheapicalconstrictiontreatmentoftheperiapicalperiodontitis.Methods：80patientswithperiapicalperiodontitiswereselectedfromJanuary2010toOctober2013?Theyweredividedintotheobservationgroupandthecontrolgroupwith40casesineach.Thecontrolgroupweregive
4、nthetraditionalrootcanaltherapy,whiletheobservationgroupweretreatedwithexpandingtheapicalconstrictiontherapy.Results：Intheobservationgroup,1caseswasoverfilling,1casescontinuedgingivalswellingafteroperation,and1caseswaschronicgingivitis?Inthecontrolgroup,4caseswereunderfilling,6caseswereove
5、rfilling,5caseswereresidual,7casescontinuedgingivalswellingafteroperation,and8caseswerechronicgingivitis.Thedifferencebetweentwogroupswasstatisticallysignificant(P<0.05)?After6~27monthsoffoilow-up,2caseswererecurredintheobservationgroup,andtherecurrenceratewas5%.11caseswererecurredinthecon
6、trolgroup,andtherecurreneeratewas27.5%.Thedifferencebetweentwogroupswasstatisticallysignifiednt(P〈0.05)?Conclusion:Thetreatmentofexpandingtheapicalconstrictiononperiapicalperiodontitishadlowrecurrencerateandagoodclinicalefficacy,soitisworthpromoting?KeywordsExpandingtheapicalconstriction；P
7、eriapicalperiodontitis；Gumpain根尖周炎(Roottipperiarthritis)是牙周根尖周圍組織的急性或慢性炎癥[1],主要表現(xiàn)為患牙疼痛劇烈，呈搏動性跳痛，面部紅腫，局部淋巴結(jié)腫大、壓痛。全身出現(xiàn)乏力、發(fā)熱等，當急性根尖周炎吋冇的患者出現(xiàn)膿腫破潰等。近年來，我們采用擴大根尖狹窄區(qū)治療取得了良好的臨床效果，現(xiàn)報告如下。資料與方法2010年1月-2013年10月收治根尖周炎患者80例，男49例（患牙56顆），女31例（患牙41顆）；年齡22-71歲，平均55.3歲。80例患者隨機分成
