结扎术加口腔微电刀治疗妊娠性牙龈瘤

目的:为评价瘤体结扎加口腔微电刀治疗孕妇妊娠性牙龈瘤临床效果。方法:对69名孕妇牙龈瘤患者,根据瘤体大小分为单发和多发型,采用简单,分段和悬吊结扎后加微电刀切除的微创疗法。结果:69例均取得不同程度治疗效果,其中单发型孕瘤治愈率,基本治愈率合计94.44%,好转率5.56%;多发型治愈率,基本治愈率合计72.22%,好转率26.67%;经卡方检验两型妊娠性牙龈瘤不同疗效之间有高度显著性差异(P=0.003),单发型治疗效果更优。结论:通过瘤体结扎阻断和减缓瘤体的血液供给,使瘤体缩小后再采用口腔微电刀切除,两术起到协同作用,是一种微创和安全有效的治疗方法,值得在孕妇口腔治疗中推广应用。

Treatment of Pregnancy Epulis by Combination of Ligating and High Frequence Micro Electrotome: Analysis of 69 Cases

Objective: To evaluate the clinical efficacy of combined treatments of ligating and electrotome on pregnacny epulis. Methods: A total of 69 pregnant women with pregnancy epulis were included in this study. According to the volume, the epulis was divided into solitary and multiple types. Treatment included combination of ligating therapy which contained pedicle ligation, segmenting ligation, suspension ligation, and micro electrotome resection. Results: All 69 cases gained different therapeutic effects. Cure rates in solitary and multiple types were 94.44% and 73.33%, respectively, and improvement rates were 5.56% and 26.67%, respectively. There was significant difference in treatment effect between two types of pregnancy epulis (P=0.003). Conclusion: It is a minimal invasive and safe treatment to ligate the epulis which reduces the blood supply and thus decreases the volume of epulis, followed by micro electrotome resection. The two therapies show a synergistic effect.