超声骨刀微创拔牙法联合医用胶原蛋白海绵在下颌阻生牙拔除中的应用效果

Application effect of ultrasonic bone knife minimally invasive teeth extraction combined with medical collagen sponge in the extraction of mandibular impacted teeth

目的 探究超声骨刀微创拔牙法联合医用胶原蛋白海绵应用于下颌阻生牙拔除的效果。方法 选取2020年12月至2022年12月四川省南充市中心医院收治的150例下颌阻生牙患者为研究对象,采用随机数字表法将其分为两组,各75例。患者均采用超声骨刀微创拔牙法拔除患牙,对照组术中予以常规治疗,试验组术中联合医用胶原蛋白海绵治疗。术后30 min比较两组口腔出血情况;术后24、72 h,评估患者的口腔疼痛程度[视觉模拟评分法(VAS)];术后72 h评估两组开口受限程度;记录术后并发症。结果 试验组术后出血情况优于对照组(P<0.05)。两组不同时间点VAS评分比较,差异有统计学意义(P<0.05);术后24、72 h,试验组VAS评分低于对照组(P<0.05)。试验组术后开口受限严重程度优于对照组(P<0.05)。试验组术后并发症发生率均低于对照组(P<0.05)。结论 超声骨刀微创拔牙法联合医用胶原蛋白海绵应用于下颌阻生牙拔除的治疗中,更有助于降低患者术后的疼痛程度、出血率及并发症发生风险。

Objective To explore the effect of ultrasonic bone knife minimally invasive teeth extraction combined with medical collagen sponge in the extraction of mandibular impacted teeth.Methods A total of 150 patients with impacted mandibular teeth were admitted to Nanchong Central Hospital from December 2020 to December 2022 were selected as subjects,they were divided into two groups by random number table method,with 75 cases in each group.Minimally invasive ultrasonic bone scalpel tooth extraction method was used to remove the affected teeth in both groups.The control group received regular treatment during the operation,while the experimental group received additional treatment using medical collagen sponge.The occurrence of oral bleeding was compared between the two groups at 30 min after surgery.The degree of oral pain(visual analog scale[VAS])in patients was evaluated at 24 and 72 h after surgery.The degree of mouth opening limitation in both groups was assessed at 72 h after surgery.Postoperative complications were recorded.Results The incidence of oral bleeding in the experimental group was better than that in the control group(P<0.05).There were statistically significant differences in VAS scores between two groups at different time points(P<0.05).24 h and 72 h after surgery,VAS scores in experimental group were lower than those in control group(P<0.05).The severity of mouth opening limitation in the experimental group was lower than that in the control group(P<0.05).The total incidence of postoperative complications in the experimental group was lower than that in the control group(P<0.05).Conclusion The application of ultrasonic bone knife minimally invasive teeth extraction combined with medical collagen sponge in the treatment of impacted mandibular teeth can help to reduce postoperative pain,bleeding rate,and risk of complications in patients.