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大型根尖囊肿的综合管理：减压与保守治疗方法疗效的病例报告

Integrated Management of a Large Radicular Cyst: A Case Report on Efficacy of Decompression and Conservative Approaches.

作者信息

Chamani Ali, Moushekhian Siavash, Zarei Mina, Shakiba Reza, Davarian Mohammad Hossein

机构信息

Department of Endodontics Mashhad University of Medical Sciences Mashhad Iran.

Dental Faculty Mashhad University of Medical Sciences Mashhad Iran.

出版信息

Clin Case Rep. 2025 Jan 6;13(1):e70070. doi: 10.1002/ccr3.70070. eCollection 2025 Jan.

DOI:10.1002/ccr3.70070
PMID:39764268
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11702455/
Abstract

The decompression technique can effectively reduce the size of large periapical lesions, minimize tissue damage, and enhance surgical outcomes. This conservative approach allows for better management of extensive lesions, potentially improving patient recovery and decreasing the need for more invasive procedures.

摘要

减压技术可以有效减小大型根尖周病变的大小，将组织损伤降至最低，并提高手术效果。这种保守方法能够更好地处理广泛的病变，有可能改善患者的恢复情况并减少对更具侵入性手术的需求。

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Clin Case Rep. 2025 Jan 6;13(1):e70070. doi: 10.1002/ccr3.70070. eCollection 2025 Jan.
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本文引用的文献

1
Decompression-first or direct enucleation: The choice of treatment for medium-sized odontogenic jaw cysts.减压优先还是直接摘除：中型牙源性颌骨囊肿的治疗选择。
J Stomatol Oral Maxillofac Surg. 2024 Sep;125(4S):101892. doi: 10.1016/j.jormas.2024.101892. Epub 2024 Apr 24.
2
Effect of guided tissue regeneration on the success of surgical endodontic treatment of teeth with endodontic-periodontal lesions: A systematic review.引导组织再生术对伴有牙周牙髓病变的牙行手术根管治疗后疗效的影响：系统评价。
Int Endod J. 2023 Aug;56(8):910-921. doi: 10.1111/iej.13936. Epub 2023 Jun 1.
3
Conservative Approach in the Management of Large Periapical Cyst-Like Lesions. A Report of Two Cases.
保守治疗大型根尖周囊肿样病变。两例报告。
Medicina (Kaunas). 2021 May 14;57(5):497. doi: 10.3390/medicina57050497.
4
The global prevalence of apical periodontitis: a systematic review and meta-analysis.根尖周炎的全球患病率：系统评价和荟萃分析。
Int Endod J. 2021 May;54(5):712-735. doi: 10.1111/iej.13467. Epub 2021 Jan 22.
5
Effect of Decompression on Jaw Cystic Lesions Based on Three-Dimensional Volumetric Analysis.基于三维容积分析的减压对颌骨囊性病变的影响。
Medicina (Kaunas). 2020 Nov 10;56(11):602. doi: 10.3390/medicina56110602.
6
Comparison of Cone-beam Computed Tomography and Periapical Radiography to Determine the Proximity of Periapical Lesions to Anatomical Structures in Premaxillary Area prior to Surgical Endodontics: A Clinical Study.手术牙髓治疗前比较锥形束计算机断层扫描和根尖片以确定上颌前部区域根尖周病变与解剖结构的接近程度：一项临床研究
Int J Clin Pediatr Dent. 2020 Jul-Aug;13(4):322-326. doi: 10.5005/jp-journals-10005-1783.
7
Endodontic Periapical Lesion: An Overview on the Etiology, Diagnosis and Current Treatment Modalities.牙髓根尖周病损：病因、诊断及当前治疗方法概述。
Eur Endod J. 2020 Jul 14;5(2):54-67. doi: 10.14744/eej.2020.42714. eCollection 2020.
8
Evaluation of concordance between clinical and histopathological diagnoses in periapical lesions of endodontic origin.牙髓源性根尖周病变临床诊断与组织病理学诊断的一致性评估。
J Dent Sci. 2020 Jun;15(2):132-135. doi: 10.1016/j.jds.2020.01.007. Epub 2020 Apr 18.
9
Regenerative surgery versus access flap for the treatment of intra-bony periodontal defects: A systematic review and meta-analysis.再生性手术与翻瓣术治疗骨内牙周缺损的系统评价与Meta分析
J Clin Periodontol. 2020 Jul;47 Suppl 22:320-351. doi: 10.1111/jcpe.13237.
10
Management of Large Radicular Lesions Using Decompression: A Case Series and Review of the Literature.经减压治疗神经根性大病变的管理：病例系列及文献回顾。
J Endod. 2019 May;45(5):651-659. doi: 10.1016/j.joen.2018.12.014. Epub 2019 Mar 2.