| 李振权，康景营，邱佩娥.超声骨刀微创拔牙术治疗下颌低位水平阻生智齿患者的疗效及安全性研究[J].实用中西医结合临床,2021,21(15):124-126,130 |
| 超声骨刀微创拔牙术治疗下颌低位水平阻生智齿患者的疗效及安全性研究 |
| Study on the Efficacy and Safety of Minimally Invasive Tooth Extraction with Ultrasonic Osteotome in the Treatment of Lower Mandibular Horizontal Impacted Wisdom Teeth |
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| DOI： |
| 中文关键词: 下颌阻生智齿 超声骨刀微创拔牙术 视觉模拟疼痛评分 张口受限 疼痛介质 并发症 |
| 英文关键词: Impacted mandibular wisdom tooth Minimally invasive extraction with ultrasonic bone knife Visual analog pain score Restricted mouth opening Pain mediator Complication |
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| 中文摘要: |
| 目的：探讨超声骨刀微创拔牙术对下颌低位水平阻生智齿患者的疗效及安全性。方法：回顾性分析2018年1月~2020年9月深圳市宝安区石岩人民医院口腔科接诊的100例下颌低位水平阻生智齿患者的病历，根据患者采取手术方法的不同分为对照组和观察组，每组50例。对照组采用高速涡轮机拔牙治疗，观察组给予超声骨刀微创拔牙术治疗。比较两组的手术时间、术后1周手术部位的视觉模拟疼痛评分（VAS）、张口受限发生率以及血清前列腺素E2（PGE2）、P物质（SP）、β-内啡肽（β-EP）水平的表达，并比较术后并发症的发生情况。结果：观察组患者的手术时间和VAS评分分别为（28.63±5.07） min、（3.08±0.47）分， 对照组分别为（37.20±6.14） min、（4.75±0.69）分，观察组手术时间和VAS评分均明显低于对照组（P＜0.05）；观察组张口受限发生率为4.00%，明显低于对照组的18.00%（P＜0.05）；观察组血清PGE2、SP、β-EP水平分别为（42.76±6.13） pg/ml、（0.40±0.06） ng/L、（0.31±0.04） ng/L，对照组分别为（58.30±7.38） pg/ml、（0.95±0.11） ng/L、（0.58±0.07） ng/L，观察组血清PGE2、SP、β-EP水平均明显低于对照组（P＜0.05）；术后4周复查发现，观察组并发症的总发生率为4.00%，明显低于对照组的18.00%（P＜0.05）。结论：超声骨刀微创拔牙术可有效降低下颌低位水平阻生智齿患者术后疼痛感，且可降低张口受限率及术后并发症发生率，安全性好。 |
| 英文摘要: |
| Objective: To study the efficacy and safety of minimally invasive tooth extraction with ultrasonic osteotome in 50 patients with lower mandibular horizontal impacted wisdom teeth. Methods: To retrospectively analyze the clinical datas of 100 patients with lower mandibular horizontal lateral impacted wisdom teeth admitted to the Department of Stomatology, Shiyan people's Hospital of Bao'an District, Shenzhen from January 2018 to September 2020, patients were divided into control group and observation group according to different operation methods, with 50 cases in each group. The control group was treated with high-speed turbine tooth extraction, while the observation group was given minimally invasive tooth extraction with ultrasonic osteotome. The operation time and visual analogue pain score (VAS) of the surgical site, incidence of restricted mouth opening, the expression of serum prostaglandin E2 (PGE2), substance P (SP), β-endorphin (β-EP) levels at 1 week after operation were compared between the two groups, and the occurrence of postoperative complications was compared. Results: The operation time and VAS score of the observation group were (28.63±5.07) min and (3.08±0.47) scores, the control group were (37.20±6.14) min and (4.75±0.69) scores, the operation time and VAS score of the observation group were significantly lower than those of the control group (P＜0.05); the incidence of restricted mouth opening in the observation group was 4.00%, which was significantly lower than 18.00% in the control group (P＜0.05); the serum PGE2, SP, β-EP levels in the observation group were (42.76±6.13) pg/ml, (0.40±0.06) ng/L, (0.31±0.04) ng/L, the control group were (58.30±7.38) pg/ml, (0.95±0.11) ng/L, (0.58±0.07) ng/L, the serum PGE2, SP, and β-EP levels of the observation group were significantly lower than those of the control group (P＜0.05). 4 Weeks after of the operation, the re-examination found that the total incidence of complications in the observation group was 4.00%, which was significantly lower than 18.00% in the control group (P＜0.05). Conclusion: The minimally invasive tooth extraction with ultrasonic osteotome can effectively reduce postoperative pain in patients with lower mandibular horizontal impacted wisdom teeth, and can reduce the rate of restricted mouth opening and postoperative complications. It is safe and worthy of popularization and application. |
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