CAJ | 학술논문

目的：探究口腔颌面部囊肿行开创减压术治疗的临床效果。方法选取2012年3月~2014年6月我院收入治疗的72例口腔颌面部囊肿患者，随机平分为对照组和观察组，对照组行常规开放性手术治疗，观察组行开窗减压术治疗，比较两组患者的相关手术指标、并发症发生率、治疗有效率及随访半年的手术复发率。结果观察组患者的平均手术时间、住院时间短于对照组，术中出血量明显少于对照组(P<0.05)；观察组治疗期间发生并发症1例，并发症发生率为2.8%，对照组发生并发症6例，并发症发生率为16.7%，差异有统计学意义(P<0.05)；观察组治疗有效34例，治疗有效率为94.4%，对照组治疗有效30例，治疗有效率为83.3%，两组患者在随访半年内均无患者复发(P>0.05)。结论开窗减压术治疗口腔颌面部囊肿减少了对患者的手术损伤，便于患者快速康复、出院，安全性较高。
목적：탐구구강합면부낭종행개창감압술치료적림상효과。방법선취2012년3월~2014년6월아원수입치료적72례구강합면부낭종환자，수궤평분위대조조화관찰조，대조조행상규개방성수술치료，관찰조행개창감압술치료，비교량조환자적상관수술지표、병발증발생솔、치료유효솔급수방반년적수술복발솔。결과관찰조환자적평균수술시간、주원시간단우대조조，술중출혈량명현소우대조조(P<0.05)；관찰조치료기간발생병발증1례，병발증발생솔위2.8%，대조조발생병발증6례，병발증발생솔위16.7%，차이유통계학의의(P<0.05)；관찰조치료유효34례，치료유효솔위94.4%，대조조치료유효30례，치료유효솔위83.3%，량조환자재수방반년내균무환자복발(P>0.05)。결론개창감압술치료구강합면부낭종감소료대환자적수술손상，편우환자쾌속강복、출원，안전성교고。
Objective To explore the clinical effect of fenestration decompression surgery in the treatment of oral-max-illofacial cyst. Methods Seventy-two patients with oral-maxillofacial cyst treated in our hospital from March 2012 to June 2014 were selected and randomly and evenly divided into control group and observation group.The control group was given conventional open surgery treatment and the observation group was given fenestration decompression surgery treatment.Relevant surgical indicators,incidences of complications,treatment effective rates and surgical recurrence rates within six months’ follow-up between two groups were compared. Results The observation group was shorter than the control group in the mean surgical time and length of hospital stay,and was also less than the control group in the in-traoperative bleeding amount(P<0.05).During treatment,complications occurred in 1 patient of observation group and the incidence of complications was 2.8%,and complications occurred in 6 patients of the control group and the incidence of complications was 16.7%,with statistically significant difference between two groups(P<0.05).In the observation group,34 patients were effective and the treatment effective rate was 94.4%,and in the control group,30 patients were effective and the treatment effective rate was 83.3%;Recurrence occurred in neither group within the 6 months’ follow-up (P>0.05). Conclusion In the treatment of oral-maxillofacial cyst,fenestration decompression surgery reduces surgical injury to patients,facilitates fast recovery and hospital discharge,and is highly safe.