开窗减压术结合喜炎平腔内冲洗治疗颌骨大型囊肿的疗效分析.docVIP

精品论文 参考文献 开窗减压术结合喜炎平腔内冲洗治疗颌骨大型囊肿的疗效分析 尹琳 　　(湖南省株洲市三三一医院口腔科 412002) 　　【摘要】目的：观察开窗减压术结合喜炎平腔内冲洗治疗颌骨大型囊肿的临床疗效。方法：将44例颌骨大型囊肿患者随机分为两组，两组患者均行颌骨囊肿开窗术，术后实验组25例予以喜炎平行囊腔内冲洗，对照组19例予以0.9%氯化钠注射液腔内冲洗治疗。于术后1，3，6个月复诊，复查口腔全景片和CT片,观察囊腔大小对比疗效。结果：术后3、 6和18个月囊肿直径进行性缩小。术后3、6个月总有效率有统计学意义；而术后18个月总有效率差异无统计学意义。结论：开窗减压术配合喜炎平冲洗治疗颌骨大型囊肿可促进颌骨形态和功能的尽快修复，缩短治疗时间，值得临床推广使用。 　　【关键词】颌骨囊肿 开窗减压 喜炎平 　　【中图分类号】R615 【文献标识码】A 【文章编号】1672-5085（2014）13-0010-02 　　Analysis of curative effect of fenestration and decompression combined with Xiyanping cavity flushing treatment of large jaw cyst 　　【Abstract】Objective：To observe the effect of fenestration and decompression combined with Xiyanping cavity flushing treatment of large jaw cyst. Methods：44 cases of large jaw cyst were randomly divided into two groups, two groups of patients underwent maxillary cyst fenestration。The experiment group：25 patients were flushed by Xiyanping injection，another group was the contrasrive group：19 patients by 0.9% Sodium Chloride Injection . Cavity size of two groups were observed. Results： Cysts size was reduced after 1, 3, 6 and 18 months。After 1, 3, 6 months， the total efficiency rate of two groups are of statistical significance. But there was no significant difference in total efficiency after 18 months. Conclusion ：Fenestration and decompression combined with Xiyanping flushing treatment of large jaw cyst can promote the morphology and function of mandible repaired as soon as possible, shorten treatment time, is worthy of clinical use. 　　【Key words】Cyst of jaw， fenestration and decompression，Xiyanping 　　颌骨巨大囊性病变的临床治疗比较棘手,单纯行囊肿刮除术后复发率高,而行颌骨切除则常会带来外形及功能上的残缺.近年来,因开窗减压术可明显缩小病变范围,避免颌骨切除或大范围切除,且术后复发率较囊肿刮除术低，而在临床广泛开展。[1]喜炎平注射液具有较好的抗菌、增强机体免疫力的作用。本院于2010年01月-2011年10月对44例患者前行开窗减压术，25例患者应用喜炎平注射液进行囊腔冲洗，并与19例应用0.9%氯化钠注射液行囊肿冲洗进行对照，效果满意。现报道如下。 　　1.资料与方法 　　 1.1一般资料 　　选取2010年01月-2011年10月我院就诊，明确诊断为颌骨囊肿患者44例，男 25例，女19例，平均年龄（35.8 plusmn;6．8)岁；囊肿直径4．1～7.5cm；所有患者均行口腔全景片和CT检查。将44名患者分为试验组和