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目的探讨单纯根管治疗与一次性根管充填结合即刻手术治疗在前牙根尖周囊肿的疗效。方法 56例前牙根尖周囊肿患者,按照患者治疗意愿分为对照组和观察组,每组28例。对照组患者单纯接受根管治疗,观察组患者行一次性根管充填结合即刻手术治疗。观察两组患者治疗效果,并就两组患者治疗满意评分进行对比。结果观察组总有效率为92.86%,明显高于对照组的67.86%(P<0.05);观察组患者满意评分(88.4±11.0)分,显著高于对照组的(80.3±14.0)分(P<0.05)。结论针对前牙根尖周囊肿患者可行一次性根管充填结合即刻手术治疗的方法 ,不但能快速改善患者临床症状,提高满意度,且恢复效果较好,值得推荐使用。
Objective To investigate the effect of simple root canal therapy combined with one-time root canal filling in immediate surgical treatment of apical periodontal cyst. Methods 56 patients with apical periodontal cyst were divided into control group and observation group according to patients’ willingness to treat. Each group had 28 cases. Patients in the control group received only root canal therapy. Patients in the observation group received one-time root canal filling combined with immediate surgery. Observed the treatment effect of two groups of patients, and compared the two groups of patients satisfaction score. Results The total effective rate in the observation group was 92.86%, which was significantly higher than that in the control group (67.86%, P <0.05). The satisfaction score (88.4 ± 11.0) in the observation group was significantly higher than that in the control group (80.3 ± 14.0) <0.05). Conclusion The method of disposable root canal filling combined with immediate surgical treatment in patients with periapical cyst of anterior teeth can not only rapidly improve the clinical symptoms and improve the satisfaction of the patients but also has a good recovery effect and is worth recommending.