CAJ | 학술논문

目的：评价下颌阻生智齿拔除术后不同牙龈瓣关闭缝合方式对患者术后生活质量的影响。方法采用随机、自身对照的临床试验设计，选取就诊于天津医科大学口腔医院外科门诊要求拔除双侧对称阻生下颌第三磨牙患者62例，龈瓣缝合时一侧采用封闭式缝合（一期缝合），另一侧采用开放引流式缝合（二期缝合）。应用下颌第三磨牙拔除术后症状严重度量表（PoSSe量表）对患者进行术后生活质量的评价。分别于术后第7天完成评价并分析比较2组得分。结果共57例患者资料进入结果分析，一期缝合组手术用时（17.7±4.6）min，二期缝合组为（16.3±5.1） min，差异无统计学意义（t=1.539，P＞0.05）。一期缝合组与二期缝合组的PoSSe量表分值分别为26.348±12.414和21.633±11.382。前者高于后者（P＜0.05）。结论开放引流式缝合通过缓解疼痛、肿胀在一定程度上减缓拔牙对患者生活质量的影响，适于临床推广应用。
목적：평개하합조생지치발제술후불동아간판관폐봉합방식대환자술후생활질량적영향。방법채용수궤、자신대조적림상시험설계，선취취진우천진의과대학구강의원외과문진요구발제쌍측대칭조생하합제삼마아환자62례，간판봉합시일측채용봉폐식봉합（일기봉합），령일측채용개방인류식봉합（이기봉합）。응용하합제삼마아발제술후증상엄중도량표（PoSSe량표）대환자진행술후생활질량적평개。분별우술후제7천완성평개병분석비교2조득분。결과공57례환자자료진입결과분석，일기봉합조수술용시（17.7±4.6）min，이기봉합조위（16.3±5.1） min，차이무통계학의의（t=1.539，P＞0.05）。일기봉합조여이기봉합조적PoSSe량표분치분별위26.348±12.414화21.633±11.382。전자고우후자（P＜0.05）。결론개방인류식봉합통과완해동통、종창재일정정도상감완발아대환자생활질량적영향，괄우림상추엄응용。
Objective To evaluate effects of different types of gingival flap suture on the quality of life in patients after removal of mandibular third molar. Methods A randomized, controlled clinical trial design was adopted. Sixty-two patients in oral surgery department, Stomatology Hospital of Tianjin Medical University were selected. Patients were required removal of bilateral symmetry impacted mandibular third molars, and enclosed suture (primary suture) was used in one side, open drainage suture (secondary suture) was used in the other side. The postoperative symptom severity scale (PoSSe scale) was used to evaluate the quality of life in patients after removal of mandibular third molar. The evaluation was completed 7 days after surgery, and the scale was compared between two groups. Results A total of 57 cases of clinical data were enrolled in the final analysis. The operative time for primary suture group was (17.7±4.6) min, and the operative time for secondary su?ture group was (16.3 ± 5.1) min, the difference was not statistically significant (t=1.539, P>0.05). The PoSSe score was sig?nificantly higher in primary suture group (26.348 ± 12.414) than that of secondary suture group (21.633 ± 11.382, P<0.05). Conclusion Secondary suture reduces the influence of teeth removal on quality of life in patients through relieving pain and swelling, and which is suitable for clinical application.