首都医科大学学报 ›› 2015, Vol. 36 ›› Issue (3): 478-482.doi: 10.3969/j.issn.1006-7795.2015.03.028

• 临床研究 • 上一篇    下一篇

非手术根管再治疗-根尖手术联合治疗难治性根尖周炎

许志亮   

  1. 北京中医药大学附属护国寺中医医院口腔科, 北京 100035
  • 收稿日期:2014-12-16 出版日期:2015-06-21 发布日期:2015-06-15
  • 通讯作者: 许志亮 E-mail:xuemei2006@sohu.com

Combination treatment of refractory periapical periodontitis with nonsurgical endodontic retreatment and apical surgery

Xu Zhiliang   

  1. Department of Stomatology, Huguosi Hospital of Traditional Chinese Medicine, Beijing 100035, China
  • Received:2014-12-16 Online:2015-06-21 Published:2015-06-15

摘要:

目的 评价非手术根管再治疗-根尖手术联合治疗难治性根尖周炎的效果.方法 收集2008年1月至2013年12月于北京中医药大学附属护国寺中医医院口腔科就诊的68例难治性根尖周病患者作为研究对象.采用抽签法随机分为非手术根管再治疗-根尖手术联合治疗组(35例)和常规治疗组(33例),观察其治疗效果.使用SPSS18.0 软件对数据进行统计学分析.结果 联合治疗组32颗患牙治疗有效,有效率91.4%.常规治疗组24颗患牙经治疗后有效,有效率72.72%.联合治疗组较常规治疗组治疗有效率高,两组间的差异具有统计学意义(P <0.05).结论 应用非手术根管再治疗-根尖手术联合治疗方法可较为有效地治疗难治性根尖周炎.

关键词: 联合治疗, 难治性根尖周炎, 非手术根管再治疗, 根尖手术

Abstract:

Objective To explore the effect of combination treatment of refractory periapical periodontitis with nonsurgical endodontic retreatment and apical surgery. Methods Sixty-eight patients with refractory periapical periodontitis in our hospital from 2008 to 2013 years were selected in this study. These patients were randomly divided into combination treatment group and regular treatment group. Then the treatment effect was observed, and the SPSS 18.0 software was used to analyse the data. Results Thirty-two teeth in patients in combination treatment group exhibited perfect treatment effect (effective rate 91.4%), whereas only twenty-four teeth in patients in regular treatment group got better results after treatment (effective rate 72.72%). There was statistical difference in the effective rates between these two groups. Conclusion Combination treatment with nonsurgical endodontic retreatment and apical surgery could effectively treat the refractory periapical periodontitis. It exhibited nice feasibility and practicality in the stomatology department in general hospital.

Key words: combination treatment, refractory periapical periodontitis, nonsurgical endodontic retreatment, apical microsurgery

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