International Journal of Clinical Research
International Journal of Clinical Research. 2025; 9: (5) ; 10.12208/j.ijcr.20250255 .
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1 长沙市口腔医院放射科 湖南长沙
2 长沙市口腔医院牙周科 湖南长沙
*通讯作者： 李光美,单位： 长沙市口腔医院牙周科 湖南长沙；
目的 探究牙体牙髓病诊断治疗中锥形束CT（CBCT）的应用效果。方法 选定本院2024年1月~2024年12月期间收治的110例牙体牙髓病患者作为研究对象，按照“随机数字法”分为对照组n=55，予以X线检查，研究组n=55，予以锥形束CT检查，对比观察指标：疾病检出率、诊断漏诊率、治疗效果、镇痛时间、治疗时间、不良事件与疼痛评分。结果 治疗前，两组患者的疼痛评分未见统计学意义P>0.05；治疗后较对照组，研究组患者的疼痛评分较低，P<0.05；较对照组，研究组患者的镇痛时间、治疗时间较短，P<0.05；较对照组，研究组患者的疾病检出率较高，诊断漏诊率较低P<0.05；较对照组，研究组患者的治疗效果较高P<0.05；较对照组，研究组患者的不良事件发生率较低P<0.05。结论 在牙体牙髓病诊断治疗中借助锥形束CT检查可显著提高疾病检出率与治疗效果，减少诊断漏诊率与不良事件，缩短镇痛时间、治疗时间，缓解疼痛，建议临床推广。
Objective To explore the application effect of cone-beam CT(CBCT) in the diagnosis and treatment of dental pulp diseases. Methods A total of 110 patients with endodontic and dental caries admitted to our hospital from January 2024 to December 2024 were selected as the research subjects. They were divided into the control group (n=55) and the study group (n=55) according to the "random number method" and underwent X-ray examination, and the cone-beam CT examination. The comparison and observation indicators were as follows: Disease detection rate, missed diagnosis rate, therapeutic effect, analgesia time, treatment time, adverse events and pain score. Results Before treatment, the pain scores of the two groups of patients showed no statistical significance (P>0.05); After treatment, compared with the control group, the pain score of patients in the study group was lower, P<0.05; Compared with the control group, the analgesia time and treatment time of the patients in the study group were shorter, P<0.05; Compared with the control group, the disease detection rate of patients in the study group was higher and the rate of missed diagnosis was lower (P<0.05); Compared with the control group, the therapeutic effect of patients in the study group was higher (P<0.05); Compared with the control group, the incidence of adverse events in the study group was lower (P<0.05). Conclusion In the diagnosis and treatment of dental pulp diseases, the use of cone-beam CT examination can significantly improve the disease detection rate and therapeutic effect, reduce the rate of missed diagnosis and adverse events, shorten the analgesia time and treatment time, and relieve pain. It is recommended for clinical promotion.
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