传统锤凿法、高速涡轮手机和超声骨刀用于颌骨囊肿治疗的手术效果比较

Comparison of the Surgical Effects of Traditional Hammer Chisel,High-speed Turbine Handpiece and the Piezosurgery for the Treatment of Jaw Cyst

目的:探讨传统锤凿法、高速涡轮手机及超声骨刀用于颌骨囊肿治疗的临床效果。方法:选取2022年8月—2023年8月合肥市口腔医院口腔颌面外科收治的180例颌骨囊肿患者作为研究对象。按随机分组法将患者分为传统锤凿组、高速涡轮手机组、超声骨刀组,各60例。其中传统锤凿组采用传统锤凿法去骨,高速涡轮手机组采用高速涡轮手机去骨,超声骨刀组采用超声骨刀去骨。观察三组手术时间、术中出血量、术后24 h、48 h、72 h疼痛程度、肿胀程度及并发症发生率。结果:高速涡轮手机组手术时间短于传统锤凿组、超声骨刀组,且超声骨刀组手术时间短于传统锤凿组,差异有统计学意义(P<0.05);超声骨刀组出血量少于高速涡轮手机组、传统锤凿组,且高速涡轮手机组出血量少于传统锤凿组,差异有统计学意义(P<0.05)。术后24 h、48 h、72 h,超声骨刀组疼痛评分、肿胀程度评分均低于传统锤凿组和高速涡轮手机组,差异有统计学意义(P<0.05)。三组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:超声骨刀应用于颌骨囊肿治疗中,可有效减少术中出血量、缩短手术时间,缓解术后疼痛和肿胀,但在降低术后并发症上有待进一步提高。

Objective:To investigate the clinical effect of traditional hammer chisel,high-speed turbine handpiece and piezosurgery in the treatment of jaw cyst.Method:A total of 180 patients with jaw cyst admitted to the Department of Oral and Maxillofacial Surgery of Hefei Stomatological Hospital from August 2022 to August 2023 were selected as the study objects.The patients were randomly divided into the traditional hammer chisel group,the high-speed turbine handpiece group and the piezosurgery group,with 60 cases in each group.Among them,the traditional hammer chisel group adopts the traditional hammer chisel method,the highspeed turbine handpiece group adopts the high-speed turbine handpiece,and the piezosurgery group adopts the piezosurgery.The time of operation,the amount of blood loss,the degree of pain,the degree of swelling at 24 h,48 h,72 h after surgery and the incidence of complications were observed in the three groups.Result:The operation time of the high-speed turbine handpiece group was shorter than that of the traditional hammer chisel group and the piezosurgery group,and the operation time of the piezosurgery group was shorter than that of the traditional hammer chisel group,the differences were statistically significant(P<0.05).The blood loss in the piezosurgery group was less than that in the high-speed turbine handpiece group and the traditional hammer chisel group,and the blood loss in the highspeed turbine handpiece group was less than that in the traditional hammer chisel group,the differences were statistically significant(P<0.05).At 24 h,48 h,72 h after surgery,the pain score and swelling degree score of the piezosurgery group were lower than those of the traditional hammer chisel group and the high-speed turbine handpiece group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications among the three groups(P>0.05).Conclusion:The application of piezosurgery in the treatment of jaw cyst can effectively reduce the amount of intraoperative blood loss,shorten the operation time,relieve postoperative pain and swelling,but it needs to be further improved in reducing postoperative complications.