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目的 :探讨不同术式治疗牙源性颌骨囊性病变的临床疗效。方法 :回顾分析我院2012年1月—2015年1月收治的144例牙源性颌骨囊性病变患者的临床资料,A组行开窗减压术治疗,B组行完整刮治术治疗。采用SPSS18.0及PEMS3.1软件中的t检验、χ~2检验以及Radit检验,比较2组手术及术后情况的差异。结果:A组患者的手术时间为(36.3±5.7)min,显著少于B组;A组术后疼痛或麻木发生率、术后创腔感染率、术后3年复发率分别为5.45%、0%、3.64%,均显著低于B组(P<0.01);A组患者术后3个月、6个月囊腔面积减少平均百分率均显著高于B组(P<0.01);术后6个月,A组患者总有效率为98.18%,B组为84.27%,A组显著高于B组(P<0.01)。结论:对于大型牙源性颌骨囊性病变患者采取开窗减压术疗效显著,创伤小、复发少,安全性高,值得临床推广应用。
Objective: To investigate the clinical effects of different surgical treatment of odontogenic jaw cystic lesions. Methods: The clinical data of 144 patients with odontogenic jaw cystic lesions admitted to our hospital from January 2012 to January 2015 were retrospectively analyzed. Group A underwent open window decompression and group B underwent complete curettage . SPSS18.0 and PEMS3.1 software t-test, χ ~ 2 test and Radit test were used to compare the differences between the two groups in operation and postoperative conditions. Results: The operation time in group A was (36.3 ± 5.7) min, significantly less than that in group B. The pain or numbness in group A, the rate of postoperative wound infection and the recurrence rate at 3 years after operation were 5.45% 0% and 3.64%, respectively, which were significantly lower than those in group B (P <0.01). The mean percentage reduction of cyst area in group A at 3 months and 6 months after operation was significantly higher than that in group B (P <0.01) At 6 months, the total effective rate was 98.18% in group A, 84.27% in group B, and significantly higher in group A than in group B (P <0.01). Conclusion: For patients with large odontogenic cystic lesions, the fenestration decompression is effective, with less trauma, fewer recurrences and higher safety. It is worthy of clinical application.