高速涡轮钻联合超声骨刀对下颌低位阻生智齿拔除的效果  

Effect of high speed turbine drill combined with ultrasonic osteotome on extraction of mandibular impacted wisdom teeth

作　　者：徐金伟 张琴 陈海苏 于保军 俞辉明[1] XU Jinwei;ZHANG Qin;CHEN Haisu;YU Baojun;YU Huiming(Department of Stomatology,Huaian First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Huaian 223300,China;Department of Stomatology,Huaian Fifth People’s Hospital,Jiangsu Province,Huaian 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院口腔科,江苏淮安223300 [2]江苏省淮安市第五人民医院口腔科,江苏淮安223300

出　　处：《中国医药导报》2023年第21期129-132,共4页China Medical Herald

基　　金：江苏省“333工程”科研项目(BRA2018120)。

摘　　要：目的探究高速涡轮钻联合超声骨刀对下颌低位阻生智齿拔除的效果。方法选取2021年1月至2022年1月南京医科大学附属淮安第一医院收治的100例(100颗)下颌低位阻生智齿患者为研究对象,按照随机数字表法将其分为对照组(高速涡轮钻)和观察组(高速涡轮钻联合超声骨刀),各50例。比较两组围手术期情况,术后疼痛、肿胀、张口受限情况,炎症因子水平,并发症总发生率及生活质量。结果观察组手术时间短于对照组(P<0.05),观察组术中出血量少于对照组(P<0.05)。观察组疼痛、肿胀、张口受限分级优于对照组(P<0.05)。手术后,两组白细胞介素-6与C反应蛋白水平均高于手术前,且观察组低于对照组(P<0.05)。观察组术后症状严重度量表得分与并发症总发生率低于对照组(P<0.05)。结论高速涡轮钻联合超声骨刀拔除下颌低位阻生智齿,可有效缩短手术时间,减轻术后疼痛与机体应激反应,提高生活质量,且安全可靠。Objective To investigate the effect of high speed turbine drill combined with ultrasonic osteotome on extraction of mandibular impacted wisdom teeth.Methods From January 2021 to January 2022,100 patients(100 teeth)with mandibular impacted wisdom teeth were selected from Huaian First Hospital Affiliated to Nanjing Medical University.The patients were divided into control group(high-speed turbine drill)and observation group(high-speed turbine drill combined with ultrasonic osteotome)by random number table method,with 50 cases in each group.Perioperative conditions,postoperative pain,swelling,restriction of mouth opening,levels of inflammatory factors,incidence of complications,and quality of life were compared between the two groups.Results The operation time in the observation group was shorter than that in the control group(P<0.05);the intraoperative blood flow in the observation group was lower than that in the control group(P<0.05).The grade of pain,swelling,and mouth opening limitation in the observation group were better than those in the control group(P<0.05).After surgery,the levels of interleukin-6 and C-reactive protein in the two groups were higher than those before surgery,and the observation group were lower than those in the control group(P<0.05).The score of postoperative symptom severity scale and the total incidence of complications in the observation group were lower than those in the control group(P<0.05).Conclusion High speed turbine drill combined with ultrasonic osteotome can effectively shorten the operation time,reduce postoperative pain and stress reaction,improve the quality of life,and it is safe and reliable.

关 键 词：高速涡轮钻 超声骨刀 下颌低位阻生智齿 炎症因子 

分 类 号：R781.3[医药卫生—口腔医学]