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目的探讨一种创伤小、保留患牙且复发率低的牙龈瘤的治疗方法。方法 160例门诊诊断明确的牙龈瘤患者随机分为治疗组和对照组,各80例。对照组按传统手术术式,在切除瘤体的同时,拔除病变所波及的牙齿,并去除病变所波及的牙周膜、骨膜及邻近的骨组织;治疗组则在单纯瘤体切除的同时,局部注射平阳霉素和地塞米松、甲硝唑混合液。比较两组的感染率和复发率。结果对照组与治疗组感染率、复发率比较差异均无统计学意义(P>0.05)。结论采用单纯瘤体切除与局部药物注射相结合是保留患牙的一种简单、有效的方法。
Objective To investigate a method of treatment of gingival tumor with small trauma and reserved teeth and low recurrence rate. Methods 160 patients with clinically diagnosed gingiva were randomly divided into treatment group and control group, 80 cases each. The control group according to the traditional surgical procedures, removal of the tumor at the same time, removal of the affected teeth lesions, and removal of lesions affected by the periodontal ligament, periosteum and adjacent bone tissue; treatment group was simple tumor excision at the same time, Local injection of pingyangmycin and dexamethasone, metronidazole mixture. The infection and recurrence rates were compared between the two groups. Results There was no significant difference in infection rate and recurrence between the control group and the treatment group (P> 0.05). Conclusion The combination of simple tumor excision and local drug injection is a simple and effective method to retain the affected teeth.