目的 探讨开窗引流术在口腔颌面囊肿及囊性病变患者中的应用价值.方法 本研究选取2019年1月—2023年12月在阳谷县人民医院接受治疗的60例口腔颌面囊肿及囊性病变患者作为研究对象,按照手术方式的差异分为微创组37例,采用开窗引流术治疗;对照组23例,采用传统刮治术治疗.比较两组患者治疗前后心理状况[焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)]、生活质量(short form 36-item health survey,SF-36)及治疗后手术相关指标(手术时间、术中出血量、住院时间)、手术成功率、术后并发症发生率.结果 微创组患者手术时间、术中出血量、住院时间均少于对照组,差异有统计学意义(P<0.05).微创组手术成功率91.89%高于对照组的65.22%,差异有统计学意义(P<0.05);微创组术后并发症发生率5.41%低于对照组的30.43%,差异有统计学意义(P<0.05).治疗前两组SAS、SDS、SF-36评分比较,差异无统计学意义(P>0.05);治疗后微创组患者SAS、SDS和SF-36评分均优于对照组,差异有统计学意义(P<0.05).结论 与传统刮治术相比,开窗引流术可提高临床疗效、降低并发症、促进患者术后恢复,有利于改善患者负面情绪,提升生活质量,值得推广.
Application Value of Fenestration and Drainage in Patients with Oral and Maxillofacial Cysts and Cystic Diseases
Objective To investigate the application value of fenestration and drainage in patients with oral and maxillofacial cysts and cystic lesions.Methods In this study,sixty patients with oral and maxillofacial cysts and cystic lesions who were treated in Yanggu County People's Hospital from January 2019 to December 2023 were selected as research objects.According to surgical methods,37 cases were divided into minimally invasive group and treated with fenestration and drainage,and the other 23 cases were treated with traditional curettage as the control group.The psychological status[(self-rating anxiety scale,SAS)and self-rating depression scale,SDS)],quality of life[short form 36-item health survey(SF-36)],postoperative surgery related indicators(operation time,intraoperative blood loss,length of hospital stay),surgical success rate,and postoperative complication rate were compared between two groups before and after treatment.Results The operative time,intraoperative blood loss and hospital stay in minimally invasive group were significantly less than those in control group(P<0.05).The success rate of surgery in the minimally invasive group was 91.89%,which was significantly higher than 65.22% of the control group(P<0.05).The incidence of postoperative complications in the minimally invasive group was 5.41%,which was significantly lower than 30.43% of the control group((P<0.05).There was no significant difference in SAS,SDS and SF-36 scores between the two groups before treatment(P>0.05).After treatment,SAS,SDS and SF-36 scores in the minimally invasive group were significantly better than those in the control group(P<0.05).Conclusion Compared with traditional curettage,fenestration and drainage can improve clinical efficacy,reduce complications,promote postoperative recovery of patients,and improve patients'negative emotions and quality of life,so it is worth promoting.
Maxillofacial CystCystic LesionsFenestration DrainageCurative EffectQuality of Life
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