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目的 :探讨临床上使用显微根尖手术对根尖周病患者进行治疗的实际疗效及患者预后的相关影响因素。方法 :我们对2015年5月-2016年5月期间来我院进行就诊治疗的144例根尖周病患者的临床资料进行回顾性研究。我们按照随机分配的原则将这些患者分为观察组和对照组,并保持这两组患者的数量一致,各有72例患者。我们对观察组患者采用显微根尖外科手术疗法对患者进行骨缺损的填塞,对对照组患者采用传统的骨腔血凝块机化愈合方式进行治疗。之后,对患者进行为期半年的跟踪调查,就两组患者在术后一周的愈合率、半年后的治愈率进行对比分析。结果 :经过治疗和观察分析,我们发现观察组患者的骨愈合率在术后1周达到了100%,明显高于对照组患者,二者相比差异显著(p<0.05),具有统计学意义;此外,观察组患者在随访半年以后发现有69例患者治愈,治愈率高达95.83%,显著高于对照组患者的治愈率,二者相比差异显著(p<0.05),具有统计学意义。结论 :临床上使用显微根尖手术对根尖周病患者进行治疗的实际疗效显著,患者的满意度较高且不会出现明显的不良反应,此方法可以作为今后临床治疗根尖周病的优选方法。
Objective: To explore the clinical use of microscopic apical surgery in patients with periapical disease treatment and the actual effect of prognosis of patients related factors. METHODS: We retrospectively reviewed the clinical data of 144 patients with periapical disease who came to our hospital from May 2015 to May 2016. We divided these patients into observation and control groups on a randomized basis and maintained the same number of patients in each of the two groups, each with 72 patients. We observed microscopic apical surgery in patients with microsurgical treatment of bone defects in patients with filling, the control group of patients treated with traditional bone-clot blood clots healing. After a six-month follow-up survey of patients, the two groups of patients in the healing rate after a week, six months after the comparison of the cure rate. Results: After treatment and observation, we found that the healing rate of the observation group reached 100% at 1 week after operation, which was significantly higher than that of the control group (p <0.05), with statistical significance In addition, in the observation group of patients after six months of follow-up, 69 patients were cured, the cure rate was as high as 95.83%, which was significantly higher than the control group, the difference was significant (p <0.05), with statistical significance. Conclusion: The clinical application of microsurgical apical surgery in patients with periapical disease treatment of the actual effect of significant patients with high satisfaction and no significant adverse reactions, this method can be used as the future clinical treatment of periapical disease The preferred method.