数字化改良式与传统基托式塞治器在下颌骨开窗减压术中的对比研究

目的比较数字化改良囊腔塞治器与传统基托式囊肿塞治器在下颌骨囊肿开窗减压术后的临床运用及治疗效果。方法选取下颌骨囊肿开窗减压术后病例37例,随机分为数字化改良囊腔塞治器组和传统基托式囊肿塞治器组,对比两组所用塞治器的技工制作和临床操作用时、戴用后满意度评分及12个月后囊腔大小变化差异。结果数字化改良囊腔塞治器组塞治器的技工制作和临床操作平均用时与传统基托式囊肿塞治器组差异具有统计学意义(P=0.00);数字化改良囊腔塞治器组戴用塞治器后舒适度及清洁度的满意度评分与传统基托式囊肿塞治器组差异具有统计学意义(P<0.05),但两组对固位的满意度评分差异无统计学意义(P>0.05);数字化改良囊腔塞治器组与传统基托式囊肿塞治器组戴用塞治器12个月后囊腔明显减小,但两组间差异无统计学意义(P>0.05)。结论下颌骨囊肿开窗减压术后运用数字化改良囊腔塞治器和传统基托式囊肿塞治器均可取得良好的效果;数字化改良囊腔塞治器具有较高的时效性,患者满意度高,可作为下颌骨开窗减压术后的一种优选治疗装置。

Comparative study of digital modified and traditional base type cyst plug marsupialization of cystic lesions of the jaw

Objective To compare the clinical application and therapeutic effect of digital modified and traditional base type cyst plug in the treatment of jaw cyst decompression.Methods Thirty-seven cases of jaw cyst patients were selected and randomly divided into two groups:digital modified cyst plug group and traditional base type cyst plug group.Compare the differences of the two groups of the cyst plug used in the technician production and clinical operation,the post-wear satisfaction score and the change of the cyst size after 12 months.Results The difference in average time between the technician production and clinical operation of the two groups of cyst plug was statistically significant(P=0.00).There was a statistically significant difference in the satisfaction scores of comfort and cleanliness between the two groups(P<0.05),but there was no significant difference in the satisfaction scores between the two groups(P>0.05).After 12 months of wearing the cyst plug,the cysts size were significantly reduced,but there was no statistical difference between the two groups(P>0.05).Conclusion The digital modified cyst plug and the traditional base type cyst plug can achieve good results after the decompression of the jaw cyst.The digital modified cyst plug has high timeliness and high patients satisfaction,so it can be used as a preferred treatment for postoperative decompression of the jaw.