牙周治疗联合手术疗法治疗牙龈瘤的疗效观察.docVIP

牙周治疗联合手术疗法治疗牙龈瘤的疗效观察 　　[摘要] 目的 探讨牙周治疗联合手术疗法治疗牙龈瘤的临床效果。 方法 将2006年2月～2010年8月在我院口腔科就诊的36例牙龈瘤患者按照治疗方法分成两组，对照组12例采用常规手术疗法，实验组24例采用牙周治疗联合手术疗法，同时保留患牙，比较两组患者一般资料、治愈率及治疗总满意度。 结果 经2年定期复查观察随访，实验组治愈率95.83%，明显高于对照组的75.00%，治疗总满意度95.83%，明显高于对照组的66.67%，差异有统计学意义（P0.05）。 结论 牙周治疗联合手术疗法治疗牙龈瘤，保留患牙，疗效良好，可以提高治愈率及患者治疗满意度，可以临床推广应用。 　　[关键词] 牙龈瘤；手术；牙周治疗 　　[中图分类号] R739.8 [文献标识码] B [文章编号] 1673-9701（2014）23-0126-03 　　[Abstract] Objective To investigate the efficacy of patients with epulis treated with periodontal therapy and surgical therapy. Methods A total of 36 cases of epulis patients were selected from February 2006 to August 2010 in our hospital dentistry treatment， they were divided into two groups according to different treatment， the control group had 12 cases， they were given conventional surgical therapy， the experimental group had 24 cases， they were treated with surgical treatment combined with periodontal treatment， while preserved the suffering teeth， we compared general information， the cure and treatment of total satisfaction of two groups. Results After 2 years of follow-up observation of periodic review， the cure rate of the experimental group （95.83%） was significantly higher than the control group（75.00%）， overall treatment satisfaction （95.83%） was significantly higher than the control group （66.67%）， the difference between the two groups was significant（P0.05）. Conclusion Surgical periodontal therapy combined therapy epulis， retain teeth， with good effect， can improve the cure rate and patient satisfaction with treatment， can be used for clinical application. 　　[Key words] Epulis；Surgical；Periodontal treatment 　　牙龈瘤是口腔科的常见病、多发病。是发生于牙龈乳头部位的炎性增生物[1]，牙龈瘤好发于前牙及前磨牙的唇颊侧牙龈乳头部位，以前磨牙最为常见，牙龈瘤来源于牙周膜和颌骨牙槽突的结缔组织。其发病原因与局部刺激和慢性炎症有关，菌斑、不良修复体、结石、食物嵌塞是牙龈瘤的主要病因，龈下菌斑和牙石是常见的发病原因[2]。牙龈瘤在结构特点上不属于真性肿瘤，但同时具有肿瘤的生物特性，如切除后易复发、生长无自限等。牙龈瘤的分型：肉芽肿型、纤维型、血管型。我院自2006年2月～2010年8月采用的牙周治疗联合手术疗法，同时保留患牙的新治疗方法，与常规手术疗法相比较，结果显示牙周治疗联合手术疗法治疗牙龈瘤，其复发率明显低于常规手术疗法，疗效确定，现报道如下。 　　1资料与方法 　　1.1临床资料 　　选取2006年2月～201