摘要
目的探讨龈缘角型切口及龈缘袋状切口在拔除阻生智齿(下颌阻生第3磨牙)中的临床效果.方法对分别应用龈缘角型切口(组Ⅰ,n=38)及龈缘袋状切口(组Ⅱ,n=38)拔除的76颗阻生智齿进行回顾性分析.应用高速直手机去除阻力后拔除牙齿.对2种切口的手术时间、术后疼痛、张口受限、肿胀、并发症情况进行评价.结果 2组手术时间无显著性差异(P>0.05).术后2 d电话随访,龈缘袋状切口术后肿胀疼痛明显大于龈缘角型切口(P<0.05).7 d后复诊,龈缘角型切口患者中伤口裂开明显少于龈缘袋状切口,肿胀疼痛及张口受限在2组中差异无统计学意义(P>0.05).结论对于阻生智齿的拔除,高速无碳刷电动直手机可有效缩短拔牙时间;龈缘角型切口和龈缘袋状切口相比,前者并发症少.
Objective The purpose of this study was to compare the clinical effect of triangular and envelope incisions on the postoperative sequelae after surgical removal of impacted mandibular third molars. Methods In this study,76 removed impacted mandibular third molar were analyzed,which were performed using triangular incision(group I,n = 38) and envelope incision(group Ⅱ,n = 38),respectively. Operation time, pain, swelling,mouth opening and wound dehiscence were evaluated postoperatively. Results There was no significant difference in operation time between two groups(P 〉0.05). Follow up with a phone call two days after surgery, postoperative swelling and pain were significantly greater in group Ⅱ compared with group I(P 〈0.05). After seven days,followed up consultation showed that wound dehiscence was less than in group I compared with group Ⅱ(P〈 0.05), but there were no differences in pain, swelling and mouth opening between the two groups(P 〉0.05).Conclusion High- speed surgical handpiece can effectively shorten the time in the extraction of impacted wisdom teeth. Triangle incision was superior to the envelope incision in postoperative pain and wound dehiscence.
出处
《昆明医科大学学报》
CAS
2015年第6期89-92,共4页
Journal of Kunming Medical University
基金
云南省高层次卫生技术人才项目(D-201233)
关键词
阻生智齿
龈缘袋状切口
龈缘角型切口
无碳刷电动直手机
氢化泼尼松注射液
Triangular incision
Envelope incision
Impacted mandibular third molar
Motor-operated straight handpiece
Hydroprednisone injection