MTA与Vitapex糊剂治疗恒牙根尖周炎伴根尖闭合不全临床 - 海南医学.PDF

doi:10.3969/j.issn.1003-6350.2015.10.0545 路涓村簥缁忛獙路 MTA涓嶸itapex绯婂墏 娌荤枟鎭掔墮鏍瑰皷鍛ㄧ値浼存牴灏栭棴鍚堜笉鍏ㄤ复搴婃晥鏋滄瘮杈 鏉滄枃骞 (寮犲鍙ｅ競濡囧辜淇濆仴闄㈠彛鑵旂锛屾渤鍖 寮犲鍙 075000) 銆愭憳瑕併€ 鐩殑 姣旇緝鏃犳満涓夋哀鍖栫熆鐗╁嚌鑱氫綋(MTA)涓嶸itapex 绯婂墏娌荤枟鎭掔墮鏍瑰皷鍛ㄧ値浼存牴灏栭棴鍚堜笉鍏ㄧ殑涓 搴婃晥鏋溿€傛柟娉 閫夋嫨7~14 宀佸勾杞绘亽鐗欐牴灏栧懆鐐庝即鏍瑰皷闂悎涓嶅叏鎮ｈ€?0 渚嬶紝鎮ｇ墮91 棰楋紝闅忔満鍒嗗埆涓篗TA 缁勫拰 Vitapex 缁勶紝鍚?5 渚嬶紝MTA 缁勬偅鐗?3 棰楋紝Vitapex 缁勬偅鐗?8 棰楋紝鍒嗗埆閲囩敤MTA 鍜孷itapex 绯婂墏娌荤枟锛屾不鐤楀悗6 涓湀鍜 12涓湀澶嶈瘖锛岃瀵熺枟鏁堛€傜粨鏋 6 涓湀澶嶈瘖鏃讹紝涓ょ粍X 绾?MTA 缁?3.02%銆乂itapex 缁?1.67%)鍜屼复搴婃寚鏍?MTA 缁 95.35%銆乂itapex 缁?1.67%)鐨勬垚鍔熺巼宸紓鍧囨棤缁熻瀛︽剰涔?P0.05) 锛?2涓湀澶嶈瘖鏃讹紝MTA 缁勭殑X 绾挎鏌ョ殑鎴愬姛鐜 涓?0.70% 锛屾槑鏄鹃珮浜嶸itapex 缁勭殑70.83% 锛屽樊寮傛湁缁熻瀛︽剰涔?P0.05) 锛孧TA 缁勭殑涓村簥鎸囨爣鎴愬姛鐜囦负93.02% 锛屾槑鏄 楂樹簬Vitapex 缁勭殑72.92% 锛屽樊寮傛湁缁熻瀛︽剰涔?P0.05) 锛屾牴绠℃不鐤楁湡闂寸柤鐥?EIP)鐨勫彂鐢熸儏鍐碉紝MTA 缁勪紭浜嶸itapex 缁勶紝宸紓鏈夌粺璁″鎰忎箟(P0.05) 銆傜粨璁 MTA 瀵瑰勾杞绘亽鐗欐牴灏栧懆鐐庝即鏍瑰皷闂悎涓嶅叏鐨勭煭鏈熸不鐤楁晥鏋滅‘鍒囷紝鏄竴绉 鐞嗘兂鐨勬牴灏栬瀵兼垚鍨嬫潗鏂欍€ 銆愬叧閿瘝銆 鏃犳満涓夋哀鍖栫熆鐗╁嚌鑱氫綋(MTA) 锛沄itapex 锛涙亽鐗欐牴灏栧懆鐐庯紱鏍瑰皷闂悎涓嶅叏锛涙晥鏋 + 銆愪腑鍥惧垎绫诲彿銆慠781.34 1 銆愭枃鐚爣璇嗙爜銆態 銆愭枃绔犵紪鍙枫€ 1003鈥?350锛?015 锛?0鈥?526鈥?3 鎭掔墮钀屽嚭鍚庯紝鏍瑰皷閮ㄥ垎鍒欏皻鏈畬鎴愭极闀跨殑鍙戣偛锛 鐗?5棰楋紝纾ㄧ墮10棰椼€備袱缁勬偅鑰呯殑鍩烘湰璧勬枡姣旇緝宸紓 杩欎釜杩囩▼闇€瑕?~5 骞淬€傚湪鏍瑰皷鍙戣偛鐨勮繃绋嬩腑鐢变簬鐣 鍧囨棤缁熻瀛︽剰涔?P0.05) 锛屽叿鏈夊彲姣旀€с€ 褰腑澶皷鎶樻柇闇查珦銆佺墮澶栦激绛夊師鍥犲鑷寸墮楂撳潖姝伙紝鍒 1.2 娌荤枟鏂规硶 鎵€鏈夋偅鑰呮湳鍓嶅父瑙勭墮鍛ㄦ不鐤楋紝 [1] 鐗欐牴銆佺墮灏栫殑鍙戣偛涔熷皢鍋滄瀵艰嚧鏍瑰皷閮ㄥ彂鑲蹭笉鑹 銆 琛孹 绾跨墖妫€鏌ユ槑纭牴灏栨湭闂悎閮ㄤ綅銆佺▼搴﹀強鏍瑰皷鍛ㄧ粍 鏍瑰皷璇卞鎴愬舰鏈?Apexicfiation)鏄埄鐢ㄦ煇绉嶅叿鏈夎瀵 缁囩牬鍧忚寖鍥淬€傚父瑙勬牴绠￠澶囷紝寮€楂撱€佹嫈楂擄紝娓呯悊鏍圭銆 鏍瑰皷鍙戣偛鐗规€х殑鑽墿瀵瑰叾鏍瑰皷鍙戣偛涓嶈壇鐨勬偅鐗欐牴灏 娴嬮噺宸ヤ綔闀垮害銆?%杩囨哀鍖栨阿娑层€?.9%鐢熺悊鐩愭按銆?.5% 杩涜璇卞浠庤€屾洿濂界殑淇濈暀鎮ｇ墮鐨勪竴绉嶆不鐤楁柟娉曘€傜粡 娆℃隘閰搁挔娑插弽澶嶄氦鏇垮啿娲楁牴绠★紝鏍圭鍐呭皝鍏ユ阿姘у寲閽 杩囧骞寸殑涓村簥搴旂敤鍜屽疄璺碉紝鏍瑰皷璇卞鎴愬舰鏈€愭笎鎴 绯婂墏1鍛紝澶嶈瘖鏃朵娇鐢?.5%娆℃隘閰搁挔鍜?7%EDTA浜 鐔燂紝鏍圭濉厖鑽墿涔熷緱鍒颁簡鍙戝睍鍜屾崲浠ｏ紝鐩墠搴旂敤姣 鏇垮啿娲楁牴绠″唴姘㈡哀鍖栭挋锛屽啿娲楀畬鍏ㄥ悗鍚稿共銆 杈冨箍娉涚殑鏄棤鏈轰笁姘у寲鐭跨墿鍑濊仛浣?Mineral tioxide 1.2.1 MTA 缁 鏈墠灏哅TA 绮夋湯涓庤捀棣忔按浠 aggregate 锛孧TA) 鍜孷itapex 绯婂墏銆傛湰鏂囨帰璁ㄤ簡MTA 1:3 鐨勬瘮渚嬪厖鍒嗘贩鍚堬紝