手术切除术、开窗减压术两种治疗方法对儿童颌骨囊肿的效果比较

Comparison of the effects between surgical excisionand fenestration and decompression for children with jaw cysts

目的:探究比较手术切除术与开窗减压术分别应用于儿童颌骨囊肿治疗的效果。方法:将本院2017年1月至2019年1月收治的60例颌骨囊肿的儿童患者纳入研究,采用随机分配法分为对照组与观察组,各30例。对照组患儿均采用开窗减压术治疗,观察组患儿均采用手术切除术治疗。比较两组治疗后的效果、术中出血量、术后疼痛程度、术后感染发生率及6个月后复发率。结果:经手术治疗后,观察组患儿的总有效率(93.33%)较对照组治疗总有效率(73.33%)显著高,两组差异有统计学意义(P<0.05);观察组患儿术中出血量(10.58±5.65)mL,较对照组(25.46±10.24)mL少;观察组患儿疼痛评分(4.85±0.47)分,较对照组(6.32±0.75)分显著低;以上比较差异均有统计学意义(P<0.05);观察组患儿术后感染发生率(3.33%)与对照组(10.00%)比较差异无统计学意义(P>0.05);观察组患儿6个月复发率(10.00%)比对照组(33.33%)显著低,两组差异有统计学意义(P<0.05)。结论:儿童颌骨囊肿使用手术切除术较开窗减压术治疗效果优,安全性高且疼痛程度低、复发率低,值得临床推广。

Objective:To investigate and compare the effects of surgical excision and fenestration decompression in the treatment of children with jaw cysts.Methods:Sixty children with jaw cysts who were admitted to the hospital from January 2017 to January 2019 were enrolled in the study.They were divided into the control group and the observation group by random number table methods with 30 cases in each group.The control group was treated with fenestration decompression while the observation group was treated with surgical excision.The treatment effects,intraoperative blood loss,postoperative pain degree,the incidence of postoperative infection and recurrence rate at 6 months after treatment were compared between the two groups.Results:The total response rate of the observation group was significantly higher than that of the control group(93.33%vs 73.33%)(P<0.05).The intraoperative blood loss of observation group was significantly less than that of the control group[(10.58±5.65)mL vs(25.46±10.24)mL].The pain score of observation group was significantly lower than that of the control group[(4.85±0.47)points vs(6.32±0.75)points](all P<0.05).There was no significant difference in the incidence of postoperative infection between the two groups(3.33%vs 10.00%)(P>0.05).The 6-month recurrence rate in observation group was significantly lower than that in the control group(10.00%vs 33.33%)(P<0.05).Conclusions:The effect of surgical excision is superior to fenestration and decompression in the treatment of children with jaw cysts,with high safety,mild pain and low recurrence rate.It is worthy of clinical promotion.