显微根尖手术对慢性根尖周炎患者的影响

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国家科技期刊平台
NETL
NSTL
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中文摘要：目的:评估显微根尖手术对慢性根尖周炎(CAP)患者的影响。方法:选取 2021 年 1 月—2022 年 12 月桂林市口腔医院收治的 80 例CAP患者，根据随机数表法将其分为对照组(40 例)和观察组(40 例)。对照组给予传统根尖外科手术，观察组给予显微根尖手术。比较两组手术效果，术后 7 d疼痛情况，术前及术后 3 个月、6 个月根尖周指数(PAI)评分，术前及术后 4 周龈沟液炎症因子，并发症。结果:观察组总有效率(95。00%)高于对照组(77。50%)，差异有统计学意义(P<0。05)。术后 7 d，观察组疼痛发生率(12。50%)低于对照组(40。00%)，差异有统计学意义(P<0。05)。术后 3 个月、6 个月，观察组PAI评分均低于对照组，差异有统计学意义(P<0。05)。术后 4 周，观察组肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平均低于对照组，差异有统计学意义(P<0。05)。观察组并发症发生率(2。50%)低于对照组(15。00%)，差异有统计学意义(P<0。05)。结论:CAP患者实施显微根尖手术，可以提高治疗效果，减轻炎症反应、疼痛感，减少术后并发症，改善根尖周情况。

外文标题：Effect of Microscopic Apical Surgery on Patients with Chronic Apical Periodontitis

外文摘要：Objective:To evaluate the effect of microscopic apical surgery on patients with chronic apical periodontitis(CAP).Method:A total of 80 patients with CAP who admitted to Guilin Stomatological Hospital from January 2021 to December 2022 were selected,they were divided into the control group(40 cases)and the observation group(40 cases)according to random number table method.The control group was given traditional apical surgery,and the observation group was given microscopic apical surgery.The surgical effect,pain condition at 7 d after surgery,periapical index(PAI)score before surgery and 3 months and 6 months after surgery,inflammatory factors in gingival crevicular fluid before surgery and 4 weeks after surgery,complications were compared between two groups.Result:The total effective rate of the observation group(95.00%)was higher than that of the control group(77.50%),and the difference was statistically significant(P<0.05).At 7 d after surgery,the incidence of pain in the observation group(12.50%)was lower than that in the control group(40.00%),and the difference was statistically significant(P<0.05).At 3 months and 6 months after surgery,the PAI scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 4 weeks after surgery,the levels of tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β)and interleukin-6(IL-6)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of complication of the observation group(2.50%)was lower than that of control group(15.00%),and the difference was statistically significant(P<0.05).Conclusion:Microscopic apical surgery for CAP patients can improve the therapeutic effect,reduce inflammation reaction and pain sensation,reduce postoperative complications,and improve periapical conditions.

外文关键词：

Microscopic apical surgeryChronic apical periodontitisPainInflammatory factors in gingival crevicular fluid

作者：

王路荣

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作者单位：

桂林市口腔医院广西桂林 541000

关键词：

显微根尖手术慢性根尖周炎疼痛龈沟液炎症因子

出版年：

2024

DOI：