论文部分内容阅读
目的:探讨米诺环素辅助窦道搔刮术治疗有窦型慢性根尖周炎临床效果差异。方法:选取我院口腔科近期收治有窦型慢性根尖周炎患者140例,采用随机抽样方法分为对照组(70例)和观察组(70例);两组患者均采用窦道搔刮术,其中对照组患者术后采用碘甘油注入封药,观察组患者采用米诺环素注入封药;比较两组患者临床疗效和随访换药>3次发生率。结果:对照组和观察组治疗总有效率分别为81.43%(57/70),97.14%(68/70);观察组患者临床疗效显著优于对照组,差异有统计学意义(p<0.05);对照组和观察组随访换药次数>3次发生率分别为21.43%(15/70),7.14%(5/70);观察组患者随访换药次数>3次发生率显著低于对照组,差异有统计学意义(p<0.05)。结论:米诺环素辅助窦道搔刮术治疗有窦型慢性根尖周炎可有效改善临床症状,缓解炎性疼痛,并有助于提高根管灭菌效果。
Objective: To investigate the clinical effect of minocycline-assisted sinus scraping for the treatment of chronic apical periodontitis. Methods: One hundred and fourteen patients with chronic periapical periodontitis admitted to our hospital recently were divided into control group (70 cases) and observation group (70 cases) by random sampling method. Two groups of patients were treated with sinus scraping The patients in the control group were treated with iodine-glycerol injection and the patients in the observation group were treated with minocycline injection of sealant. The clinical efficacy and follow-up dressing were compared between the two groups for> 3 incidences. Results: The total effective rates of the control group and the observation group were 81.43% (57/70) and 97.14% (68/70), respectively. The clinical efficacy of the observation group was significantly better than that of the control group (p <0.05) ; The incidence of follow-up dressing> 3 times in control group and observation group were 21.43% (15/70) and 7.14% (5/70) respectively; the incidence of follow-up dressing> 3 times in observation group was significantly lower than that in control group , The difference was statistically significant (p <0.05). CONCLUSION: Minocycline-assisted sinus surgery for the treatment of chronic apical periodontitis with sinusoids can effectively improve the clinical symptoms, relieve the inflammatory pain and help to improve the sterilization effect of root canal.