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目的探讨针对牙龈瘤患者,应用手术切除瘤体同时,仍然保留其患牙的改良方法的临床疗效。方法选取2014年1月至2015年1月来博罗县人民医院就诊的168例牙龈瘤患者,根据入院先后顺序随机分为观察组和对照组,每组84例,对照组应用传统治疗方法,观察组切除牙龈瘤所波及的牙槽骨和牙周膜及骨膜,同时保留患牙。观察术中、术后两组治疗效果。结果观察组手术所用时间、术中出血量及术后肿胀情况均优于对照组,差异有统计学意义(P<0.05);观察组手术感染、创面愈合及牙龈附着再生情况均明显低于对照组,差异有统计学意义(P<0.05);观察组总有效率为100%,明显优于对照组(83.33%),差异有统计学意义(P<0.05)。结论针对牙龈瘤患者,应用手术切除瘤体同时,仍然保留其患牙的改良手术方法,疗效满意,同时也增加了患者术后美感,减轻了患者经济负担,适合临床应用推广。
Objective To investigate the clinical efficacy of the improved method for the treatment of gingiva in patients with gingival tumor while removing the tumor by surgical resection. Methods A total of 168 patients with gingival tumors from Boluo County People’s Hospital from January 2014 to January 2015 were randomly divided into observation group and control group according to the order of admission, each group had 84 cases. The control group was treated by traditional methods, In the observation group, alveolar bone, periodontal ligament and periosteum were dissected from the gingival tumor while retaining the affected teeth. Observation of intraoperative and postoperative effects of two groups. Results The operation time, intraoperative blood loss and postoperative swelling in the observation group were better than those in the control group (P <0.05). The infection rate, wound healing and gingival attachment in the observation group were significantly lower than those in the control group Group, the difference was statistically significant (P <0.05). The total effective rate in the observation group was 100%, which was significantly better than that in the control group (83.33%), the difference was statistically significant (P <0.05). Conclusion For patients with gingival tumor, surgical resection of the tumor while still retaining its teeth improved surgical approach, the effect is satisfactory, but also increase the postoperative aesthetic feeling, reduce the patient’s financial burden, suitable for clinical application.