干髓术联合根管治疗术在牙髓炎治疗中的疗效

Application of root canal therapy combined with pulp mummification in treatment of irreversible pulpitis

目的:评价干髓术联合根管治疗术治疗牙髓炎的临床疗效。方法:174例牙髓炎患者随机分为对照组和实验组,每组87例。对照组采用干髓术治疗,实验组采用干髓术联合根管治疗术治疗,对比两组疗效。结果:对照组的手术时间短于实验组,但实验组康复时间短于对照组,实验组治疗的总有效率为95.40%,明显高于对照组86.21%。1年后随访时,实验组的有效率也明显高于对照组。结论:干髓术联合根管治疗术治疗牙髓炎的临床疗效好,远期疗明显。

Objective：To evaluate the clinical efficacy of the combination of root canal therapy and pulp mummification in treating patients with irreversible pulpitis.Methods：174 cases of pulpitis were randomly divided into the control group and the experimental group,87 cases in each group.The experimental group was treated with the root canal therapy combined with pulp mummification,while the control group with pulp mummification only.The clinical efficacy was compared between the two groups.Results：Although the mean duration of operation was longer for the experimental group in comparison with the control group,the patients in the experimental group got quicker rehabilitation,and the total effective rate of experimental group（95.40%） was significantly higher than that of control group（86.21%）.Moreover,the effective rate was still higher in the experimental group even after one year.Conclusion：The combination of root canal therapy and pulp mummification is effective in treating irreversible pulpitis,and also has better long-term outcome.