显微根尖外科手术治疗前牙根尖囊肿的临床分析

Clinical Analysis of Microscopic Apical Surgery in the Treatment of Anterior Tooth Apical Cyst

目的:研究显微根尖外科手术治疗前牙根尖囊肿的效果。方法:选取2021年1月—2023年1月上饶市人民医院收治的80例前牙根尖囊肿患者为研究对象,采用随机数字表法将其分为观察组(n=40)与对照组(n=40),观察组进行显微根尖外科手术治疗,对照组进行传统根尖外科手术治疗。比较两组术后12、24、48 h的视觉模拟评分法(VAS)评分。比较两组的治疗总有效率、术后并发症发生情况与治疗满意度。结果:观察组术后12、24、48 h的VAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组的治疗满意度优于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:对前牙根尖囊肿患者进行显微镜下根尖外科手术,能够缓解疼痛、提高治疗有效率及减少术后并发症发生,且患者的治疗满意度更高。

Objective:To study the effect of microscopic apical surgery in the treatment of anterior tooth apical cyst.Method:A total of 80 patients with anterior tooth apical cyst admitted to Shangrao People's Hospital from January 2021 to January 2023 were selected as the research objects,they were divided into observation group(n=40)and control group(n=40)by random number table method.The observation group was treated with microscopic apical surgery,and the control group was treated with traditional apical surgery.Visual analog scale(VAS)scores of the two groups were compared at 12,24 and 48 h after surgery.The total effective rate of treatment,postoperative complications and treatment satisfaction of two groups were compared.Result:The VAS scores of the observation group at 12,24 and 48 h after operation were lower than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The satisfaction of treatment in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Microscopic apical surgery for anterior tooth apical cyst can relieve pain,improve treatment efficiency and reduce postoperative complications,and the patients have higher satisfaction.