CAJ | 학술논문

目的总结超声骨刀在颌骨肿瘤手术中的配合要点.方法选择2007年以来收治颌骨肿瘤患者64例,随机分成超声骨刀组和常规组各32例,超声骨刀组患者术中应用超声骨刀,常规组患者使用骨凿传统手术方法,对2组术中感受、手术时间、手术出血、术后反应、并发症进行观察并比较.结果超声骨刀组术中不适、术中出血均轻于常规组,在手术时间上常规组显著短于超声骨刀组.2组均未发生手术后感染、出血、神经损伤等并发症.结论应用超声骨刀进行颌骨肿瘤切除术可增加患者术中舒适感和减少出血,要求熟悉手术程序,掌握护理要领,才能默契地配合手术.
목적 총결초성골도재합골종류수술중적배합요점.방법 선택2007년이래수치합골종류환자64례,수궤분성초성골도조화상규조각32례,초성골도조환자술중응용초성골도,상규조환자사용골착전통수술방법,대2조술중감수、수술시간、수술출혈、술후반응、병발증진행관찰병비교.결과 초성골도조술중불괄、술중출혈균경우상규조,재수술시간상상규조현저단우초성골도조.2조균미발생수술후감염、출혈、신경손상등병발증.결론 응용초성골도진행합골종류절제술가증가환자술중서괄감화감소출혈,요구숙실수술정서,장악호리요령,재능묵계지배합수술.
Objective To make a summary of the clinical application and cooperation of piezosurgery in jaw bone tumour operation. Methods 64 patients with jaw bone tumour were selected since 2007 and were divided into the piezosurgery group and the routine group, they used piezosurgery and routine osteotome respectively. Feelings during operation, operation time, hemorrhage, postoperative reaction and complication were observed and compared. Results Discomfort and hemorrhage during operation was lighter, but operation was longer in the piezosurgery group compared with the routine group. Complications such as postoperative infection, hemorrhage and nerve damage did not occurred. Conclusions Application of piezosurgery in jaw bone tumor operation can increase comfort degree and reduce hemorrhage, it requires proficiency in operation procedures and master key aspects of nursing, so that can cooperate well.