两种方法拔除下颌阻生第三磨牙效果分析  

Analysis of Effect of the Two Methods in Extraction of Impacted Mandibular Third Molars

作　　者：陈芳川 陈雅瑜[1] 关比扬 

机构地区：[1]福建医科大学附属第二医院口腔科,福建泉州362000 [2]东莞市第八人民医院口腔科,广东东莞523325

出　　处：《中外医疗》2017年第14期82-84,106,共4页China & Foreign Medical Treatment

摘　　要：目的比较两种方法(传统法、气动式外科专用切割手机拔除法)拔除下颌阻生第三磨牙的临床效果。方法将福建医科大学附属第二医院2013年4月—2015年5月间收治的80例下颌阻生第三磨牙患者随机分为观察组及对照组,每组40例。观察组采用气动式外科专用切割手机拔除,对照组采用传统拔牙法拔除。比较两组手术时间及术后并发症,采用SPSS 21.0统计学软件对数据进行统计学分析。结果观察组下颌阻生第三磨牙患者的手术时间为(26.35±3.21)min,对照组下颌阻生第三磨牙患者手术时间为(35.21±8.43)min,两组比较观察组用时明显较短,差异有统计学意义(P<0.05)。观察组患者的术后张口受限、面部肿胀、疼痛等情况显著低于对照组患者,差异有统计学意义(P<0.05)。结论使用气动式外科专用切割手机拔除下颌阻生第三磨牙相比较传统方法而言,操作简便,效率高,创伤小,术后反应轻,因此值得临床推广。Objective To compare the clinical effect of traditional method and atmospheric surgical special cutter method in extraction of impacted mandibular third molars.Methods 80 cases of patients with impacted mandibular third molars admitted and treated in our hospital from April 2013 to May 2015 were selected and randomly divided into two groups with 40 cases in each,the observation group adopted the atmospheric surgical special cutter method,while the control group adopted the traditional extraction method,and the operation time and postoperative complications were compared between the two groups,and the data were statistically analyzed by the SPSS 21.0 software package.Results The operation time in the observation group was obviously shorter than that in the control group[（26.35±3.21）min vs（35.21±8.43）min],and the difference was statistically significant（P〈0.05）,and the postoperative mouth-open limitation,facial swelling and pains in the observation group were obviously lower than those in the control group,and the differences were statistically significant（P〈0.05）.Conclusion The operation of atmospheric surgical special cutter method in extraction of impacted mandibular third molars is easier than the traditional method with high efficacy,small wound and mild postoperative reactions,therefore,it is worth clinical promotion.

关 键 词：拔牙 传统方法 气动式外科专用切割手机 下颌阻生第三磨牙 

分 类 号：R782[医药卫生—口腔医学]