| 李淑华,曹发明,许从平,黄 涛,刘安东.开窗减压术与传统刮治术治疗颌骨囊肿的手术效果、生活质量和预后的对比研究[J].,2020,(17):3260-3263 |
| 开窗减压术与传统刮治术治疗颌骨囊肿的手术效果、生活质量和预后的对比研究 |
| A Comparative Study on the Operative Effect, Quality of Life and Prognosis of Fenestration Decompression and Curettage in the Treatment of Jaw Cyst |
| 投稿时间：2020-05-06 修订日期：2020-05-30 |
| DOI：10.13241/j.cnki.pmb.2020.17.013 |
| 中文关键词: 开窗减压术 传统刮治术 颌骨囊肿 手术效果 生活质量 预后 |
| 英文关键词: Fenestration and decompression Traditional curettage Jaw cyst Operative effect Quality of life Prognosis |
| 基金项目:国家自然科学基金青年基金项目（31600627）；安徽省高校自然科学研究项目（ZR2019B02） |
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| 中文摘要: |
| 摘要 目的：对比颌骨囊肿经传统刮治术与开窗减压术治疗后的手术效果、生活质量和预后。方法：回顾性选取2016年1月~2018年7月期间我院收治的90例颌骨囊肿患者的临床资料，上述患者根据手术方式的不同分为A组（n=45，传统刮治术）和B组（n=45，开窗减压术），比较两组患者疗效、临床指标、生活质量和预后。结果：B组患者临床总有效率为97.78%（44/45），高于A组的84.44%（38/45）（P<0.05）。B组患者伤口愈合时间、手术时间、均短于A组，术中出血量少于A组（P<0.05）。两组患者末次随访时情绪、外貌、味觉、疼痛、唾液、咀嚼等项目评分均升高，且B组高于A组（P<0.05）。B组并发症发生率、复发率均低于A组（P<0.05）。结论：与传统刮治术治疗相比，开窗减压术治疗颌骨囊肿，在手术效果、生活质量和预后方面效果显著，具有较高的临床应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the operative effect, quality of life and prognosis of patients with cyst of jaw treated by fenestration and decompression and traditional curettage. Methods: The clinical data of 90 patients with jaw cyst who were admitted to our hospital from January 2016 to July 2018 were retrospectively selected. The patients were divided into group A (n=45, traditional curettage) and group B (n=45, fenestration and decompression) according to different surgical methods. The curative effect, clinical indicators, quality of life and prognosis were compared between the two groups. Results: The total clinical effective rate of group B was 97.78%(44/45), which was higher than 84.44%(38/45) of group A(P<0.05). The wound healing time, the operation time in group B were shorter than those in group A, the intraoperative blood loss was less than that in group A(P<0.05). The scores of emotion, appearance, taste, pain, saliva, chewing and other items in the last follow-up of the two groups were higher than those in group A (P<0.05). The rate of complications and recurrence in group B was lower than that in group A (P<0.05). Conclusion: Compared with the traditional curettage, the fenestration and decompression has a significant effect on the operative effect, quality of life and prognosis, and has a higher clinical application value. |
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