摘要
牙拔除术是口腔颌面外科领域最常见、最基本、应用最广泛的治疗性手术。微创拔牙可减少牙拔除诊疗过程对患者产生的身心创伤,在临床运用中具有重要意义,被广泛推荐用于临床一线诊疗,但当前国内外尚无指南或共识对微创拔牙进行系统性介绍,无法为临床牙拔除整个过程提供实践指导。针对该问题,本共识根据国内外相关资料和临床工作经验,对微创拔牙的临床应用(适应证、适应群体和禁忌证)、整体流程(术前准备、手术步骤、术后处置、术后医嘱、用药及随访)和术后并发症进行系统整合,为微创拔牙临床运用进行全面指导。
Tooth extraction is a common and widely employed therapeutic procedure in oral and maxillofacial surgery.Minimally invasive tooth extraction can reduce both physical and psychological trauma to the patients,and is widely recommended as a first-line clinical treatment.But currently no guidelines or consensus has been available to provide a systematic introduction of minimally invasive tooth extraction to guide the clinical practices.To address this issue,this consensus,based on a comprehensive literature review and clinical experiences of experts,systematically summarizes the indications,target patients,and contraindications of minimally invasive tooth extraction,the overall workflow of this procedure(preoperative preparation,surgical steps,postoperative management,postoperative instructions,medications,and follow-up),and its common postoperative complications to provide a comprehensive guidance for clinical application of this technique.
作者
贾搏
王勤
陈军
郑广森
范松
叶青松
贺燕
张富贵
吴亚东
刘丰
欧阳可雄
张磊涛
吕晓智
赵建江
JIA Bo;WANG Qin;CHEN Jun;ZHENG Guangsen;FAN Song;YE Qingsong;HE Yan;ZHANG Fugui;WU Yadong;LIU Feng;OUYANG Kexiong;ZHANG Leitao;LV Xiaozhi;ZHAO Jianjiang(Department of Oral and Maxillofacial Surgery,Stomatological Hospital of Southern Medical University,Guangzhou 510282,China;Department of Oral and Maxillofacial Surgery,Stomatology Hospital of Sun Yat-sen University,Guangzhou 510055,China;Department of Oral and Maxillofacial Surgery,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,China;Stomatology Center,People's Hospital of Wuhan University,Wuhan 430060,China;Department of Stomatology,Tianyou Hospital of Wuhan University of Science and Technology,Wuhan 430070,China;Department of Oral and Maxillofacial Surgery,Stomatological Hospital of Chongqing Medical University,Chongqing 400042,China;Department of Oral and Maxillofacial Surgery,College of Stomatology of Guizhou Medical University,Guiyang 550001,China;Department of Oral and Maxillofacial Surgery,Hunan Provincial People's Hospital,Changsha 410018,China;Department of Oral and Maxillofacial Surgery,Affiliated Stomatology Hospital of Guangzhou Medical University School,Guangzhou 510160,China;Department of Stomatology,Nangfang Hospital,Southern Medical University,Guangzhou 510515,China;Department of Stomatology,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;Department of Oral and Maxillofacial Surgery,Shenzhen Stomatology Hospital of Southern Medical University,Shenzhen 518001,China)
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2024年第5期1004-1014,共11页
Journal of Southern Medical University
关键词
微创拔牙
规范化
操作流程
专家共识
minimally invasive tooth extraction
standardization
operation procedure
expert consensus