压电超声骨刀在颌骨囊肿摘除术中的临床应用  

The application of piezosurgery in enucleation of jaw cysts

作　　者：蒋瑷 高永波 李伯友 杨立明 

机构地区：[1]深圳市第九人民医院口腔科,广东深圳518116

出　　处：《临床口腔医学杂志》2011年第5期303-305,共3页Journal of Clinical Stomatology

摘　　要：目的:总结压电超声骨刀在颌骨囊肿摘除术中的临床应用特点,并评价其临床效果。方法:对41例颌骨囊肿病例,应用压电超声骨刀进行骨开窗,其中8例配合使用电钻,摘除囊肿,6例囊腔用钛板将游离的自体骨块复位固定,关闭骨腔。观察超声骨刀的临床使用特点及临床效果。结果:41例均完整摘除颌骨囊肿,其中1例因术中操作不当致鼻底黏膜损伤,其余病例无软组织损伤。伤口一期愈合。8例配合使用电钻者,骨切割效率明显提高。结论:颌骨囊肿摘除术中应用压电超声骨刀,手术精确度高,安全,方便。Objective： The aim of this work has been to test piezosurgery as a new and alternative method in the enucleation of jaw cysts. Method：41 patients with jaw cysts were recruited and had the operation to remove the cysts. In the operation, piezosurgery was used in bone fenestration and the enucleation of jaw cysts. 6 patients out of them were given the therapy of fixing the piezoelectric cutting bone blocks with microplate to close the bone cavity. The postsurgical changes of surgical area were observed and recorded. Result：The piezoelectric osteotomy was performed on the 41 patients, and the jaw cysts were completely removed. There was no soft fissure damage in those patients except for one case with nose mucous membrane injured due to misoperation.With the combined use of the electric drill in the 8 patients, the cutting effi ciency was improved obviously. Conclusion： Piezosurgery is optimal for enucleation of jaw cysts due to precise cutting in mineral tissure without soft tissure damage.

关 键 词：超声骨刀 颌骨囊肿:颌骨囊肿摘除术 

分 类 号：R782.05[医药卫生—口腔医学]