超声骨刀在牙瘤摘除术中的临床应用

Clinical application of piezosurgery in the enucleation of odontoma

目的:探讨超声骨刀在牙瘤摘除手术中的临床应用价值。方法:选取我院2017年6月—2019年5月收治的符合纳入标准的102例牙瘤患者。将患者随机分为2组,研究组和对照组,每组各51例,其中研究组使用超声骨刀去骨,对照组使用高速涡轮机去骨,记录2组的手术时间、出血量、疼痛程度及术后并发症的发生率。结果:研究组平均手术时间为(36.25±5.25)min,对照组平均手术时间为(33.40±4.75)min,2组手术时间比较,差异无统计学意义(P>0.05)。研究组平均术中出血量为(28.68±4.68)mL,对照组平均术中出血量为(40.66±6.46)mL,2组手术中的出血量比较,差异有统计学意义(P<0.05)。研究组术后24 h疼痛程度与对照组比明显轻,2组比较差异有统计学意义(P<0.05)。研究组术后并发症的发生率为0,对照组术后并发症的发生率为13.7%,2组术后并发症发生率比较,差异有统计学意义(P<0.05)。结论:与高速涡轮手机相比,超声骨刀在临床使用中不仅损伤小、安全性高、精确度高,且术后出现各种并发症的概率更低,值得临床推广。

Objective:To investigate the clinical value of piezosurgery in the enucleation of odontoma.Methods:A total of 102 patients with odontoma who met the inclusion criteria in our hospital from June 2017 to May 2019 were randomly divided into two groups,the research group(n=51)and the control group(n=51).The control group used high-speed turbine handpieces to remove bone,the research group used piezosurgery to remove bone.The operation time,blood loss,pain degree and the incidence of postoperative complications were recorded.Results:The average operation time was(36.25±5.25)min in the research group and(33.40±4.75)min in the control group.There was no significant difference in operation time between the two groups(P>0.05).The average intraoperative blood loss was(28.68±4.68)mL in the research group and(40.66±6.46)mL in the control group.There was a significant difference in intraoperative blood loss between the two groups(P<0.05).The degree of pain at 24 hours after operation in the research group was significantly less severe than that in the control group,and there was a significant difference between the two groups(P<0.05).The incidence of postoperative complications was 0 in the research group and 13.7%in the control group.There was a significant difference in the incidence of postoperative complications between the two groups(P<0.05).Conclusion:Compared with high-speed turbine handpieces,piezosurgery not only has less injury,more safety and higher accuracy in clinical use,but also has a lower probability of postoperative complications,which is worth popularizing in clinical practice.