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目的研究高频电刀电凝治疗复发性阿弗他溃疡(RAU)的临床疗效。方法将2009—2012年广东省韶关市口腔医院门诊就诊患者172例(362个)RAU分为治疗组和对照组。治疗组87例用高频电刀电凝治疗,3%H2O2与生理盐水冲洗创面,碘甘油涂布,术后氯己定含漱;对照组85例用3%H2O2与盐水冲洗创面,碘甘油涂布,氯己定含漱。每天定期电话随访疗效,随访观察7 d。结果治疗组182个溃疡面中显效152个(83.52%),有效25个(13.74%),无效5个(2.75%);对照组180个溃疡面中显效59个(32.78%),有效102个(56.67%),无效19个(10.56%)。两组疗效差异有统计学意义(P<0.05)。结论高频电刀电凝治疗口腔RAU可以缩短溃疡愈合期,减轻疼痛,具有很好的疗效。
Objective To study the clinical effect of electrosurgical coagulation on recurrent aphthous ulcer (RAU). Methods 172 cases (362) RAU patients from outpatient clinic of Shaoguan Stomatological Hospital from 2009 to 2012 were divided into treatment group and control group. In the treatment group, 87 cases were treated with high-frequency electrocautery electrocoagulation, wounds were treated with 3% H2O2 and saline, iodized glycerol was applied, and chlorhexidine was rinsed after operation. In the control group, 85 cases were treated with 3% H2O2 and saline, Coating, chlorhexidine gargle. Daily telephone follow-up effect, follow-up observation of 7 d. Results Among the 182 ulcer surfaces, 152 (83.52%) were effective, 25 (13.74%) were effective and 5 (2.75%) were ineffective in the treatment group; 59 (32.78%) were effective in 180 ulcers in the control group, (56.67%), 19 invalid (10.56%). The difference between the two groups was statistically significant (P <0.05). Conclusion Electrosurgical coagulation treatment of oral RAU can shorten the healing period of ulcer, relieve pain and have good curative effect.