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改良卡诺氏液在骨坏死量和渗透深度方面是否与卡诺氏液一样有效?

Is modified Carnoy's solution as effective as Carnoy's solution in terms of amount of bone necrosis and depth of penetration?

机构信息

Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, India.

Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, India.

出版信息

Br J Oral Maxillofac Surg. 2023 Apr;61(3):233-239. doi: 10.1016/j.bjoms.2023.02.004. Epub 2023 Mar 3.

Abstract

Carnoy's solution, a chemical cauterisation agent, has been indicated as one of the adjuvant treatment modalities for odontogenic keratocyst. In 2000, after the ban of chloroform many surgeons adopted the use of Modified Carnoy's solution. The purpose of this study is to compare the depth of penetration and amount of bone necrosis of Carnoy's versus Modified Carnoy's solution on the mandible of Wistar rats at different time intervals. Twenty-six male Wistar rats of six to eight weeks old, weighing approximately 150-200 grams, were allocated for this study. The predictor variables were type of solution and application time. The outcome variable was depth of penetration and amount of bone necrosis. Carnoy's solution was applied on the defect on the right side of the mandible and Modified Carnoy's solution on the left side for five minutes on eight rats, eight minutes on eight rats, and 10 minutes on eight rats. All specimens were subjected to histomorphometric analysis done using Mia image AR software. Univariate ANOVA test, and paired sample t test was done to compare the results. The depth of penetration for Carnoy's solution was more than Modified Carnoy's solution in the three different exposure times. Statistically significant results were observed at five minutes and eight minutes. The amount of bone necrosis was more in Modified Carnoy's solution. The results were not statistically significant at the three different exposure times. To conclude, when one wants to use Modified Carnoy's solution, the minimum exposure time should be 10 minutes to achieve similar results as those of Carnoy's solution.

摘要

卡诺氏液是一种化学腐蚀剂,已被用作牙源性角化囊肿的辅助治疗方法之一。2000 年,氯仿被禁用后,许多外科医生开始采用改良卡诺氏液。本研究的目的是比较卡诺氏液和改良卡诺氏液在不同时间间隔对 Wistar 大鼠下颌骨的渗透深度和骨坏死量。将 26 只 6-8 周龄、体重约 150-200 克的雄性 Wistar 大鼠分配到本研究中。预测变量为溶液类型和应用时间,结果变量为渗透深度和骨坏死量。将卡诺氏液应用于右侧下颌骨的缺损处,改良卡诺氏液应用于左侧下颌骨的缺损处,5 分钟 8 只大鼠,8 分钟 8 只大鼠,10 分钟 8 只大鼠。所有标本均进行组织形态计量学分析,使用 Mia image AR 软件。采用单因素方差分析和配对样本 t 检验进行比较。卡诺氏液的渗透深度大于改良卡诺氏液在三种不同暴露时间。在 5 分钟和 8 分钟时观察到统计学显著结果。改良卡诺氏液的骨坏死量更多。在三种不同的暴露时间内,结果没有统计学意义。结论:当使用改良卡诺氏液时,最短暴露时间应为 10 分钟,以获得与卡诺氏液相似的结果。

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