两种手术方式对糖尿病患者义齿种植术后软组织愈合的影响

Effect of two kinds of surgery methods on the healing time of soft tissue after implantation in patients with diabetes

目的观察翻瓣法和不翻瓣法对糖尿病患者种植手术后软组织愈合情况的影响。方法将61例符合纳入标准的需要种植义齿修复的糖尿病患者随机分成单颗组和多颗连续(2颗以上)组,每组再分为翻瓣组和不翻瓣组,术后每隔1周复诊1次,观察并记录软组织创口愈合情况,至创口愈合为止。对数据进行统计分析。结果所有患者软组织均在术后3周内愈合,且随诊期内(6~24个月)无失败病例。单颗翻瓣植入组与单颗不翻瓣植入组1周愈合率无统计学差异(P>0.05),连续不翻瓣植入组1周愈合率高于连续翻瓣植入组,且统计学有差异(P<0.05)。结论糖尿病患者义齿种植手术中,多颗植入病例,不翻瓣法较翻瓣法在组织愈合方面具有一定优势,而单颗植入病例,两种术式无显著差异。

Objective To observe the effect of flap and non-flap on the healing time of soft tissue in pa- tients with diabetes. Methods 61 diabetic patients who needed to be restored with implantation were ran- domly divided into two groups： single group and multiple consecutive （ more than two ） group. Each group was divided into two subgroups：flap group and non-flap group, follow-up visits were made every other week. The healing time of soft tissue was recorded until the wound healed. The data was analyzed statistically, ice- sults There was no significant difference in the healing rate between flap and non-flap group in single im- plantation group （ P 〉0.05 ）. The healing rate of non-flap consecutive implantation group was higher than that of flap consecutive implantation group, and there was significant difference （ P 〈 0. 05 ）. Conclusion There is no significant difference between the flap and non-flap group in single implantation of diabetic patients. How- ever ,in the case of multiple consecutive implantation cases,there is advantages of non-flap method than flap one.