应用缝扎硬化与微波热凝治疗口腔良性肿瘤的临床疗效对比

Comparison of the Clinical Curative Effect of Suture Hardening and Microwave Thermocoagulation in the Treatment of Oral Benign Tumors

目的比较缝扎硬化和微波热凝治疗口腔良性肿瘤的临床疗效差异。方法收取口腔良性肿瘤97例作为研究对象,随机分为2组:A组(缝扎硬化治疗肿瘤47例)、B组(微波热凝治疗良性肿瘤50例)。所有患者都应用2%的利多卡因进行术前麻醉,术后辅以常规口服抗生素,避免感染。观察记录2组治疗方法的治疗效果和肿瘤复发率,以及治疗后并发症的发生率。结果治疗后,A组总治愈率为95.7%,术后1年内未发生复发,仅有2例发生并发症。B组总治愈率为80.0%,术后肿瘤复发率为4.3%,并发症发生率为16.0%。2组间统计数据有统计学差异(P>0.05)。结论缝扎硬化的总治愈率和治愈效果均较微波热疗好,值得临床推广。

Objective To observe the clinical efficacy of suturing hardening and microwave thermocoagulation in the treatment of benign oral benign tumors. Methods 97 cases of oral benign tumors were randomly divided into 2 groups ： Group A （47 cases） was treated with suture sclerotherapy, Group B （50 cases）was treated with microwave thermocoagulation, all patients were treated with 2% of lidoeaine for preoperative anesthesia, supplemented by conventional oral antibiotics, to avoid infection. The therapeutic effects and tumor recurrence rates of the 2 groups were noted and the incidence of post-treatment complications was observed. Results After treatment ,The total cure rate was 95.7%. Only 2 cases had recurrent or postoperative complications occurred within 1 year after operation. Group B was treated with microwave hyperthermia the total cure rate was 80.0%. The re- currence rate was 4.3% and the complication rate was 16.0% , which were significantly higher than those of the suture group（ P 〈 0.05 ）. The statistical data were statistically different between the 2 groups （ P 〉 0.05 ）. Conclusion Efficacy of suture hard- ening is better than microwave hyperthcrmia,the total cure rate and cure effect are better than microwave hyperthermia,it is wor- thy of clinical promotion.