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目的:研究根管充填术联合根管外科治疗慢性根尖周病变的临床疗效。方法:将2011年1月-2012年12月我院收治的慢性根尖周病变患者纳入研究,随机分为给予根管充填术联合根管外科治疗的观察组和仅给予根管充填术治疗的对照组,观察治疗后的临床效果、美观程度、咀嚼功能及应激状态。结果:修复后1月和3月时观察组患者的外观满意率(98%、90%)、治疗成功率(98%、94%)、观察组患者的生活质量评分(84.8±13.3、93.4±15.2)、修复后后1月时咀嚼效率(0.88±0.11)、咬合力(129.4±18.4)lbs明显高于对照组(P<0.05);术后1周时观察组患者的HAMA评分(11.8±1.9)、HAMD评分(12.7±2.3)、NRS评分(2.1±0.5)均低于对照组(P<0.05);结论:根管充填术联合根管外科治疗有助于改善治疗效果和美观程度,保持咀嚼功能,提高生活质量,缓解应激状态,具有积极的临床应用价值。
Objective: To study the clinical effect of root canal filling combined with root canal surgery in the treatment of chronic apical lesions. Methods: The patients with chronic apical lesions in our hospital from January 2011 to December 2012 were enrolled in the study. They were randomly divided into two groups: observation group receiving root canal filling combined with root canal surgery and root canal filling only The control group, to observe the clinical effect after treatment, appearance, chewing function and stress status. Results: The appearance satisfaction rate (98%, 90%), the treatment success rate (98%, 94%) in the observation group and the quality of life score in the observation group (84.8 ± 13.3, 93.4 ± 15.2). The masticatory efficiency (0.88 ± 0.11) and the lumbar intervertebral force (129.4 ± 18.4) lbs at 1 month after repair were significantly higher than those in the control group (P <0.05). The HAMA score of the observation group at 1 week 1.9), HAMD score (12.7 ± 2.3) and NRS score (2.1 ± 0.5) were lower than the control group (P <0.05) .Conclusion: Root canal filling combined with root canal surgery can improve the therapeutic effect and aesthetic appearance, Maintain chewing function, improve the quality of life, relieve stress, has a positive clinical value.