传统法与超声骨刀微创拔牙法拔除阻生智齿的效率,创伤和术后并发症比较与研究

Comparison of traditional methods and efficiency of minimally invasive extraction of impacted wisdom teeth,trauma and postoperative complications

目的本研究旨在比较传统方法和微创拔牙拔除阻生智齿的效率,创伤和术后并发症.方法本研究回顾性分析了2016年6月~2018年6月在我院口腔科择期拔除下颌阻生智齿的患者178例,其中89例接受了传统凿骨劈冠法(传统组),89例接受了超声骨刀法(微创组),比较2组患者的手术时间、出血量以及术后并发症的发生率.结果微创组患者的手术时间、出血量和术后并发症的发生率均小于传统组,其差异均具有统计学意义(均P<0.05).结论对于下颌阻生智齿的拔除,超声骨刀法优于传统凿骨劈冠法,能够提高手术效率,减少创伤和术后并发症,值得在临床进一步推广应用.

Objective The purpose of this study was to compare the efficiency,trauma and postoperative complications of conventional methods and minimally invasive extraction of impacted wisdom teeth.Methods This study retrospectively analyzed 178 patients who underwent elective removal of mandibular impacted wisdom teeth in our hospital from June 2015 to September 2017,89 of whom received the traditional chiseling crown (traditional group),89 The ultrasound bone knife method (minimally invasive group) was performed to compare the operation time,the amount of bleeding,and the incidence of postoperative complications in the two groups.Results The operation time,bleeding volume and postoperative complications of the minimally invasive group were lower than those in the traditional group,and the differences were statistically significant (all P<0.05).Conclusion For the extraction of mandibular impacted wisdom teeth,ultrasonic bone knife method is superior to traditional chisel bone crown method,which can improve the operation efficiency,reduce trauma and postoperative complications,and is worthy of further application in clinical practice.