摘要
目的:探讨超声骨刀联合反角涡轮机在微创拔除下颌阻生齿中的应用。方法:选取下颌近中阻生齿病人84例,随机分为超声骨刀组、反角涡轮机组和联合组,各28例,分别采用超声骨刀、反角涡轮机及超声骨刀联合反角涡轮机拔除阻生齿。比较3组病人手术时间和术后24 h疼痛、面部肿胀和张口度受限情况。结果:联合组病人手术时间均短于反角涡轮机组和超声骨刀组(P<0.05)。术后24 h,联合组VAS评分低于反角涡轮机组(P<0.05),3组疼痛程度、面部肿胀程度和开口受限程度差异均有统计学意义(P<0.05),联合组均优于反角涡轮机组和超声骨刀组。结论:超声骨刀联合反角涡轮机可缩短拔除下颌阻生齿手术时间,提高手术效率,同时减轻病人术后反应,提高病人舒适度。
Objective:To investigate the application in minimally invasive extraction of impacted mandibular teeth by using piezosurgery combined with contra-angle high speed turbines.Methods:Eighty-four eligible patients were selected and randomly divided into piezosurgery,contra-angle high speed turbines,and the combined groups,with 28 cases in each group.The impacted teeth of the three groups were extracted by contra-angle high speed turbines,piezosurgery,and piezosurgery combined with contra-angle high speed turbines,respectively.The operation time,postoperative pain degree within 24 hours,mouth opening degree,and postoperative swelling degree of patients were compared among the three groups.Results:The operation time of patients in the combined group was shorter than that in contra-angle high speed turbines and piezosurgery groups(P<0.05).Twenty-four hours after the operation,the VAS score of the combined group was lower than that of the contra-angle high speed turbines group(P<0.05).There were statistically significant differences in postoperative pain degree,mouth opening degree,and postoperative swelling degree among the 3 groups(P<0.05),and the combined group was better than the other two groups.Conclusions:Piezosurgery combined with contra-angle high speed turbines can shorten the operation time of teeth extraction,improve teeth extraction efficiency,reduce the postoperative reaction,and improve the comfort of patients.
作者
许乐
洪礼琳
刘玮佳
蒋勇
XU Le;HONG Li-lin;LIU Wei-jia;JIANG Yong(Department of Stomatology,Anhui Public Health Clinical Center,North District of The First Affiliated Hospital of Anhui Medical University,Hefei Anhui 230011;Department of Pediatric Stomatology,West District of Hefei Stomatological Hospital,Hefei Anhui 230031;Department of Stomatology,Anhui Provincial Hospital of Stomatology,Hefei Anhui 230032,China)
出处
《蚌埠医学院学报》
CAS
2023年第7期922-924,928,共4页
Journal of Bengbu Medical College
基金
安徽省公益性技术应用研究联动计划项目(1704f0804020)
安徽医科大学校科研基金项目(2018xkj063)。
关键词
下颌阻生齿拔除术
超声骨刀
反角涡轮机
extraction of mandibular impacted teeth
piezosurgery
contra-angle high speed turbines
