口腔修复膜与β-磷酸三钙治疗颌骨囊肿术后骨缺损的临床价值
[Clinical value of oral repair membrane and β-tricalcium phosphate in the treatment of the postoperative bone defect of jaw cyst].
作者信息
Hu Shuang, Li Chun-Mei, Zhang Shuai-Yuan, Qin Shuo, Xie Chen-Lu, Niu Zhi-Xing, Sun Ming-Lei
机构信息
Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Dept. of Stomatology, Zengcheng Branch of Southern Hospital, Guangzhou 510515, China.
出版信息
Hua Xi Kou Qiang Yi Xue Za Zhi. 2020 Oct 1;38(5):541-545. doi: 10.7518/hxkq.2020.05.012.
OBJECTIVE
This study aims to evaluate the clinical effect of oral repair membrane and β-tricalcium phosphate (β-TCP) on the treatment of jaw cyst.
METHODS
A retrospective analysis was performed on 81 cases of jaw cysts, and clinical data were collected for the comparison of traditional surgical curettage (group A, 27 cases), biofilm covering bone wounds after curettage (group B, 27 cases), and β-TCP filling combined with biofilm covering.
RESULTS
No recurrence occurred in 81 patients, and no significant difference in preoperative CT value among the three groups (P<0.05). Follow-up CT reexamination 3, 6, and 12 months after operation showed significant differences among the three groups of CT values (P<0.05). Group C was better than Group B or Group A (P<0.05).
CONCLUSIONS
In traditional jaw cyst curettage, the application of biofilm exhibited good osteogenesis effect, and the combined application of β-TCP and biofilm exerted a better effect.
目的
本研究旨在评估口腔修复膜和β-磷酸三钙（β-TCP）治疗颌骨囊肿的临床效果。
方法
对81例颌骨囊肿患者进行回顾性分析，收集临床资料，比较传统手术刮治（A组，27例）、刮治后用生物膜覆盖骨创面（B组，27例）以及β-TCP充填联合生物膜覆盖（C组，27例）的效果。
结果
81例患者均无复发，三组术前CT值比较差异无统计学意义（P>0.05）。术后3、6、12个月的CT复查显示，三组CT值差异有统计学意义（P<0.05）。C组优于B组和A组（P<0.05）。
结论
在传统颌骨囊肿刮治术中，应用生物膜显示出良好的成骨效果，β-TCP与生物膜联合应用效果更佳。
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