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高压氧疗法:大型颌骨囊肿的有效辅助治疗方法。

Hyperbaric Oxygen Therapy: An Effective Auxiliary Treatment Method for Large Jaw Cysts.

机构信息

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

出版信息

Int J Med Sci. 2021 Sep 21;18(16):3692-3696. doi: 10.7150/ijms.57360. eCollection 2021.

Abstract

To evaluate hyperbaric oxygen therapy (HBOT) on infection rates and repair rates during the treatment of large jaw cysts. A prospective randomized, non-blinded, controlled clinical trial included 90 patients with jaw cysts, randomly divided into three groups. Patients were treated with enucleations and bone substitute was used in the experimental and control groups. The experimental group received HBOT. The primary predictor variable was HBOT. The infection rate, repair rate, preoperative volume of the jaw cysts, age, and sex were statistically analyzed. The Fisher exact test was used to compare the infection rate and postoperative complications. The repair rate of the bone defects was analyzed using the repeated-measures analysis of variance and the least significant difference tests. The Kendall's coefficient of concordance and Kappa statistics were calculated to evaluate the consistency between the two investigators. The infection rate was 3.4% in the experimental group, 14.3% in the blank group, and 32.1% in the control group (P<0.05). The repair rate in the experimental group was significantly higher than in the control and blank groups at 1, 3 and 6 months after surgery (P<0.05). The results showed that HBOT reduced the postoperative infection rate following the enucleation of large jaw cysts with bone substitute filling, and it also improved the bone repair rate.

摘要

评估高压氧治疗(HBOT)对大型颌骨囊肿治疗过程中感染率和修复率的影响。一项前瞻性随机、非盲、对照临床试验纳入了 90 例颌骨囊肿患者,随机分为三组。患者接受囊肿摘除术,实验组和对照组使用骨替代物。实验组接受 HBOT。主要预测变量为 HBOT。对感染率、修复率、术前颌骨囊肿体积、年龄和性别进行统计学分析。采用 Fisher 确切检验比较感染率和术后并发症。采用重复测量方差分析和最小显著差异检验分析骨缺损的修复率。采用 Kendall 一致性系数和 Kappa 统计分析评估两位研究者之间的一致性。实验组感染率为 3.4%,空白组为 14.3%,对照组为 32.1%(P<0.05)。术后 1、3、6 个月,实验组的修复率明显高于对照组和空白组(P<0.05)。结果表明,HBOT 可降低骨替代物填充大型颌骨囊肿摘除术后的感染率,并提高骨修复率。

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