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目的探讨72例前牙根尖周囊肿根管治疗的疗效以及并发症。方法选择2010年3月—2012年3月在平顶山市第一人民医院确诊的前牙根尖周囊肿的患者72例,进行根管治疗后,随机分为根尖切除法和糊剂填充法,比较两种治疗方案的疗效以及并发症。结果 A、B组患者的治疗的有效率分别为61.1%、89、9%,存在显著性差异(P<0.05)。B组的复发率为13.9%,显著低于A组(P<0.05),并且B组的术后的总并发症发生率为25.0%,明显低于A组(P<0.05)。结论非手术根管治疗法联合糊剂填充治疗前牙根尖周囊肿的疗效确切,并发症和复发率均较小,临床应用价值高。
Objective To investigate the curative effect and complications of root canal therapy of apical apical cyst in 72 cases. Methods Seventy-two patients with apical periodontal cyst diagnosed in First People’s Hospital of Pingdingshan from March 2010 to March 2012 were randomly divided into apical and paste-filling methods after root canal treatment Efficacy and complications of two treatment options. Results The effective rates of treatment in group A and group B were 61.1% and 89.9%, respectively, with significant difference (P <0.05). The recurrence rate in group B was 13.9%, which was significantly lower than that in group A (P <0.05). The total postoperative complication rate in group B was 25.0%, which was significantly lower than that in group A (P <0.05). Conclusion Non-surgical root canal therapy combined with paste filling is effective in treating periapical apical cyst. Complication and recurrence rate are both small and of high clinical value.