铒激光与传统手术切除治疗口腔黏液囊肿的疗效评估

发布时间：2018-06-01 18:55

本文选题：口腔黏液囊肿 + 铒激光　；参考：《实用医学杂志》2017年13期

【摘要】：目的观察应用铒激光与传统手术切除治疗口腔黏液囊肿的疗效对比情况。方法选取我院2013年3月至2014年5月在口腔科治疗的口腔黏液囊肿患者63例。依据治疗方案的不同分为实验组(32例)及对照组(31例),分别给予铒激光和传统手术切除治疗,术后随访2年,比较两组的治疗效果。结果实验组的临床总有效率与对照组比较,差异无统计学意义(P0.05);实验组患者手术时间显著短于对照组,且术中无出血,术后出现水肿及瘢痕的发生率显著低于对照组,差异均有统计学意义(P0.05),而两组术后复发率比较无明显差异(P0.05);实验组患者术前及术后3 d的SAS评分及焦虑抑郁人数均显著低于对照组(P0.05),而两组患者术后1周的SAS评分及焦虑抑郁人数比较差异无显著性(P0.05)。结论铒激光在治疗口腔黏液囊肿的疗效与传统手术治疗相近的情况下,操作简便,术后并发症少,对患者心理负面影响较小,患者易于接受,值得临床推广应用。
[Abstract]:Objective to observe the curative effect of erbium laser and traditional surgical excision in the treatment of oral mucocele. Methods 63 cases of oral mucocele treated in our hospital from March 2013 to May 2014 were selected. 32 cases of experimental group and 31 cases of control group were divided into experimental group (32 cases) and control group (31 cases) according to different treatment schemes. Erbium laser and traditional surgical excision were given respectively. The two groups were followed up for 2 years to compare the therapeutic effect of the two groups. Results compared with the control group, the total effective rate of the experimental group was not significantly different from that of the control group (P 0.05), the operative time of the patients in the experimental group was significantly shorter than that in the control group, and there was no bleeding during the operation, and the incidence of edema and scar after operation was significantly lower than that in the control group. The difference was statistically significant (P 0.05), but there was no significant difference in the recurrence rate between the two groups. The SAS score and the number of anxiety and depression in the experimental group were significantly lower than those in the control group before and 3 days after operation, and the SAS scores of the two groups at 1 week after operation were significantly lower than those in the control group. There was no significant difference in scores and the number of anxiety and depression (P 0.05). Conclusion the therapeutic effect of erbium laser in the treatment of oral mucocele is similar to that of traditional surgical treatment. It is easy to operate, has fewer postoperative complications, has little negative psychological effect on patients, and is easy to be accepted by patients. It is worth popularizing and applying in clinic.
【作者单位】：北京大学人民医院口腔科;
【分类号】：R782.2

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