浙江创伤外科
浙江創傷外科
절강창상외과
ZHEJIANG JOURNAL OF TRAUMATIC SURGERY
2014年
5期
711-713
,共3页
高速涡轮机%锤凿去骨法%下颌多根阻生智齿%并发症
高速渦輪機%錘鑿去骨法%下頜多根阻生智齒%併髮癥
고속와륜궤%추착거골법%하합다근조생지치%병발증
High speed turbine%Hammer and chisel to mandibular bone%Plurality of impacted teeth%Complications
目的：探讨高速涡轮机在微创下颌多根阻生智齿拔除术中的应用。方法选择在本院实施下颌多根阻生智齿拔除的患者158例，根据拔除方式的不同分为对照组和观察组，每组均为79例。对照组常用采用传统拔牙器械锤凿去骨方式拔除，观察组采用高速涡轮机去骨方式拔除。比较两组手术时间、畏惧率、术后疼痛感、满意度、张口受限度、肿胀度、拔牙窝完整性和并发症等。结果观察组患者不畏惧率达到77.22%，显著高于对照组（P<0.05）；观察组手术时间仅为（14.87±3.13）分钟，显著短于对照（P<0.05）；术后肿胀度、痛度评分、拔牙窝完整性和张口受限度均显著低于对照组（P<0.05）；术后观察组满意度评分达到（8.89±1.61），显著高于对照组（P<0.05）；总不良反应率分别为6.39%，显著低于对照组17.72%（P<0.05）。结论与传统机械锤凿去骨比较，采用高速涡轮机去骨法拔除下颌多根阻生智齿手术时间短，术后疼痛感轻，满意度高，术后并发症较少，值得临床推广。
目的：探討高速渦輪機在微創下頜多根阻生智齒拔除術中的應用。方法選擇在本院實施下頜多根阻生智齒拔除的患者158例，根據拔除方式的不同分為對照組和觀察組，每組均為79例。對照組常用採用傳統拔牙器械錘鑿去骨方式拔除，觀察組採用高速渦輪機去骨方式拔除。比較兩組手術時間、畏懼率、術後疼痛感、滿意度、張口受限度、腫脹度、拔牙窩完整性和併髮癥等。結果觀察組患者不畏懼率達到77.22%，顯著高于對照組（P<0.05）；觀察組手術時間僅為（14.87±3.13）分鐘，顯著短于對照（P<0.05）；術後腫脹度、痛度評分、拔牙窩完整性和張口受限度均顯著低于對照組（P<0.05）；術後觀察組滿意度評分達到（8.89±1.61），顯著高于對照組（P<0.05）；總不良反應率分彆為6.39%，顯著低于對照組17.72%（P<0.05）。結論與傳統機械錘鑿去骨比較，採用高速渦輪機去骨法拔除下頜多根阻生智齒手術時間短，術後疼痛感輕，滿意度高，術後併髮癥較少，值得臨床推廣。
목적：탐토고속와륜궤재미창하합다근조생지치발제술중적응용。방법선택재본원실시하합다근조생지치발제적환자158례，근거발제방식적불동분위대조조화관찰조，매조균위79례。대조조상용채용전통발아기계추착거골방식발제，관찰조채용고속와륜궤거골방식발제。비교량조수술시간、외구솔、술후동통감、만의도、장구수한도、종창도、발아와완정성화병발증등。결과관찰조환자불외구솔체도77.22%，현저고우대조조（P<0.05）；관찰조수술시간부위（14.87±3.13）분종，현저단우대조（P<0.05）；술후종창도、통도평분、발아와완정성화장구수한도균현저저우대조조（P<0.05）；술후관찰조만의도평분체도（8.89±1.61），현저고우대조조（P<0.05）；총불량반응솔분별위6.39%，현저저우대조조17.72%（P<0.05）。결론여전통궤계추착거골비교，채용고속와륜궤거골법발제하합다근조생지치수술시간단，술후동통감경，만의도고，술후병발증교소，치득림상추엄。
Objective To explore the application of high-speed turbine in dental extraction with mandibular multiple resistance in minimally invasive. Methods In the observation group,the no fear rate was 77.22%, which was significantly higher than that in the control group (21.52%) (P<0.05). The operation time in observation group was (14.87±3.13)min, which was significantly shorter than that in control group(P<0.05). The postoperative swelling, pain score, tooth nest integrity and limitation of mouth opening degree in observation group were significantly lower than that in control group (P<0.05). The postoperative satisfaction score in observation group was (8.89 ±1.61), which was significantly higher than that in control group(P<0.05). The total adverse reaction rate in observation group was 6.39%, which was significantly lower than 17.72% in the control group (P<0.05). Conclusion Comparing to the traditional instrument hammer and chisel, high speed turbine applied to extract mandibular impacted wisdom teeth had a plurality of short operation time, light postoperative pain, high satisfaction, less postoperative complications.
