牙源性边缘性颌骨骨髓炎术中应用内镜辅助的疗效评价

目的:评价牙源性边缘性颌骨骨髓炎术中应用内镜辅助的疗效。方法:选取2018年1月—2018年12月云南省第二人民医院收治的牙源性边缘性颌骨骨髓炎患者60例,将所有患者随机分为常规组和辅助组各30例,常规组患者行常规手术治疗,辅助组患者行内镜辅助手术治疗。对2组患者的平均手术时间、术后恢复时间、术前术后疼痛程度、开口功能、咀嚼功能进行评价。随访3个月,统计治疗效果、术后并发症,并作组间比较。采用SPSS 20.0软件包对数据进行统计学分析。结果:辅助组患者平均手术时间、术后恢复时间均显著短于常规组（P<0.05）。术前2组患者疼痛、开口功能、咀嚼功能评分比较,无统计学差异（P>0.05）;术后2组患者疼痛评分低于术前,开口功能、咀嚼功能评分高于术前（P<0.05）;术后辅助组患者疼痛评分低于常规组、开口功能、咀嚼功能评分高于常规组（P<0.05）。辅助组患者的治疗总有效率显著高于常规组,差异有统计学意义（P<0.05）;辅助组患者复发率显著低于常规组（P<0.05）。辅助组患者术后总并发症发生率显著低于常规组（P<0.05）。结论:内镜辅助手术治疗牙源性边缘性颌骨骨髓炎可有效缩短手术时间,促进患者术后恢复,显著改善开口功能,降低患者术后并发症发生率,治疗效果较好。

Endoscopic-assisted treatment of odontogenic marginal jaw osteomyelitis

PURPOSE:To explore the effect of endoscopy-assisted surgery on odontogenic marginal jaw osteomyelitis.METHODS:Sixty patients with odontogenic marginal jaw osteomyelitis admitted to Second People's Hospital of Yunnan Province from January 2018 to December 2018 were selected.The patients were randomly divided into the control group and experimental group with 30 cases in each group.Patients in the control group were treated with routine surgery,while patients in the experimental group were treated with endoscopy-assisted surgery.The average operation time,postoperative recovery time,preoperative and postoperative pain,opening function and masticatory function of the two groups were evaluated.The therapeutic effect and complications were observed for 3 months and compared between the two groups.The data were analyzed with SPSS 20.0 software package.RESULTS:The average operation time and recovery time of the experimental group was shorter than the control group(P<0.05).There was no significant difference in the scores of pain,mouth opening and masticatory function between the two groups before operation(P>0.05);the scores of pain in both groups after operation were lower than those before operation,while the scores of mouth opening and masticatory function were higher than those before operation(P<0.05);the scores of pain in the experimental group after operation were higher than those in the control group(P<0.05).The total effective rate in the experimental group was significantly higher than that in the control group(P<0.05),and the recurrent rate in the experimental group was significantly lower than that in the control group(P<0.05).The incidence of total complications in the experimental group was significantly lower than that in the control group(P<0.05).CONCLUSIONS:Endoscopic-assisted surgery for odontogenic marginal jaw osteomyelitis can effectively shorten the period between operations,promote the recovery of patients after operation,significantly improve mouth opening,reduce the incidence of complications after operation,and have a better therapeutic effect.