分离仪器清除失败的风险因素:系统性审查和元分析
Le Zhao1, WangYu Luo1, Yue Shen1
1The Eighth Affiliated Hospital, Sun Yat-Sen University, Shenzhen, China.
概括
单独的仪器移除成功率平均为66%. 诸如后,下或上通道区域的位置以及严重的根曲率等因素增加了内牙治疗失败的风险.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料 牙科材料
背景情况:
- 根管中分离的仪器是一种常见的内牙复杂症.
- 如果这些仪器不能被移除,可能会导致持续的感染和治疗失败.
研究的目的:
- 系统地评估与分离仪器移除故障相关的风险因素.
- 为了确定分开的仪器移除程序的整体成功率.
主要方法:
- 在PubMed,Embase和Cochrane图书馆数据库中进行了系统的文献搜索.
- 对7项涉及922名患者的研究进行了元分析,使用Stata 17.0.0.
主要成果:
- 单独移除仪器的整体聚合成功率为66%.
- 摘除失败的重大风险因素包括:仪器位于后牙,下牙,上三分之一的运河,上侧的曲运河,根曲率>30°.
结论:
- 不利的解剖学因素显著增加了失败仪器检索的可能性.
- 术前评估和仔细的病例选择对于成功的分离仪器移除至关重要.
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