Page 15 - 根管治療的美麗與哀愁 (玖部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( 玖部曲 )

玖部曲

͍ᆽٙൢᓙ̋ɪΌᆵٙطᐕ஝ྌdϓఱ̈௰Գٙ๫ᚐᅼό

ӯ௅Ϝܿ፯ࣩٙԷ࢝ͪdɗމ༊ഹႭ׼ֵɨʞࡈᙄᕚj
1. ϓ̌ٙ࣬၍طᐕᗫᒟί׵݄Б࿏ֵٙ࣬၍૶௴ၾࡌҖkᒔ݊ცࠅഗʚᇘ੗Ͼၡྼٙ

࣬၍෬̂kҵא݊ࠅϞ͍ᆽٙ኉᜖ष๕ൢᓙk
2. νОঐ੄ᛠй̈˫࣬մࣙٙ׳࢛ீ࢛௕ᅂאषΊdᆽྼ๕І׵᜖ഢ࣬၍ٙชݑk
3. νОᆽႩ኉ᅻ৶ٙॹฦאषΊ݊ԸІ׵ڢ˫๕׌षᜊ (Non-odontogenic lesions) k

4. ኯᔟႩॆٙ፭ృطᐕ஝ᇍԨ͜ːҳɝ࣬၍طᐕdఱঐ੄ᆽڭطᐕࣩԷึϞϓ̌ٙཫܝ෗k
5. ੂഹٙซ˙ணجڢࠅੂБ࣬၍طᐕԸवИष೨˫኉dٵ֛ఱ݊ɓЗϞԄᅃٙλᔼࢪ෗k

ცवจᔷ୅׌़೨೯̙͛ٙঐ׌d̀ࠅٙ X Έᅂ྅Ꮸݟʔ̙ˇ

຅ઃ٫׬ܤίᕙࠦ᎘᎕ਜʔࣛึϞైദe໕೨ତ൥dϾᏨൖՉɪeɨቬ৶ٙ X Έ
ᅂ྅dɦ࿀ᙂఱίݔɓ˫࣬մࣙ̈ତϞ׳࢛ீ࢛षᜊᅄࡉࣛd߰ซމ༈ᒶ኉᜗ආБ࣬၍
طᐕd࠯΋੻ࠅ΋ᆽႩઃ٫Іᙂٙ˴ᝈसً (symptoms)dၾ஗೯ତٙ܄ᝈᅄࡉ (signs,
periradicular radiolucent lesions)d݊щॆ݊๕І׵༈ᒶ˫኉ʫ௅᜖ഢ࣬၍ٙชݑ (lesions

of endodontic origin)eא٫݊щ᙮׵኉᜗ഐ࿴ٙषᜊ (odontogenic problems)f͟׵
᎘᎕௅ᕙࠦਜਹٙग़຾ʱб־Ϥʹ፹ၧ੗dΪϤ຅ઃ٫ܸഹ़೨ٙהίЗໄ (site of
pain)dɰ஢Ԩʔ݊ॆ͍ชݑאष೨ٙ๕᎘ (source of pain)fה˸ۡࡁᔼ٫̀඲̮ࣸᙆᙂd
̈ତί᎘᎕ᕙࠦ௅ٙʔቇdϞ̙ঐԸІᔷ୅׌़೨ (referred pain)d( จу˜ڢ᙮ष๕ஈ

़ٙ೨™)fה˸dੂБɹഢᏨݟࣛdৰəࠅᏨൖषʾ˴ᝈІᙂʔቇהίਜਹٙ΢ᒶ኉ Ϝ ӯ ௅
᜗̮dɰ̀඲༉୚ήᏨݟՉ࿁ې኉ΐٙቌڐ˫኉i຅್ৰəᏐ༈࿁ઃ٫ה़ܸ̈ٙ೨ஈd
שᙲ࣬φ X Έᅂ྅˸Զݟ᜕ʘ̮dஷ੬ܔᙄɰ੻̋שɓੵўܼʔቇਜਹהίɪeɨ˫኉
ٙېᑈ X Έᅂ྅ (bite-wing) ԶЪᏨൖd˸રৰ݊щ̈ତəᔷ୅׌़೨fν؈dίᏨൖ

X Έᅂ྅ʕdʊ຾޶Ցݔɓ኉᜗ٙ˫࣬մࣙ̈ତ׳࢛ீ࢛௕ᅂeאϞഹतйٙ׳࢛ڜ࢛
ઋ౻i್Ͼdۍೌجί༈ੵᅂ྅ʕ޶Ց዆ࡈீ࢛௕ᅂ ( אڜ࢛ഐ࿴ ) ٙΌႶࣛdఱ̀඲
ᒔ੻̋ש̤ɓԉܓٙᅂ྅dซ፬جяତ̈ဲЧषᜊਜٙΌႶeא٫ҷשɓੵɹഢΌ౻ X
Έᅂ྅dԸЪމʱ፫Ꮸൖdʑʔߧݴ׵˸਋฿Όeא٫݊નɓဍຬd̰̘əЪ͍̈ᆽൢ

ᓙٙࠠࠅᇞ॰f

͍ᆽٙ኉᜖ष๕ൢᓙdʑ݊ϓ̌࣬၍طᐕٙᗫᒟ

ஷ੬d࿁˫࣬մࣙٙ׳࢛ᅂ྅ආБкᛘۃdೌሞ݊ࠦ࿁ீ࢛௕ᅂeאڜ࢛ഐ࿴d
ც΋રৰ̴݊щ᙮׵͍੬༆࡚ଡ଼ᔌٙҖ᜗eא݊ቌڐഐ࿴ٙࠠᛌҳᅂiᎇܝdΎආɓ
Ӊʱ፫̴݊щ᙮׵ձ˫኉޴ᗫٙषᜊ (odontogenic problems)fν؈ঐ੄࿀ᙂ̈வࡈष
ᜊձ኉᜗ଡ଼ᔌೌᗫ (non-odontogenic lesions) ࣛdԷνj̙ঐ݊Ԅ׌אె׌ٙቬ৶ᚾ
໕eא݊ग़຾eА၍eఌ૰໗᜗eא΢ᗳᜄၪЂᆯeא݊໕ᆯࣛdఱ੻ኋ஺՘пઃ٫d

3