上颌中低位埋伏智齿手术切口的改良  

A Modification of Surgical Incision in Extraction of Maxillary Impacted Teeth

作　　者：汪涛 陈玲玲 林诗琪 吴烨[1] WANG Tao;CHEN Lingling;LIN Shiqi;WU Ye(Department of Oral and Maxillofacial Surgery,Hospital of Stomatology,Fujian Medical University,Fuzhou 350002,China;School of Stomatology,Fujian Medical University,Fuzhou 350004,China)

机构地区：[1]福建医科大学附属口腔医院口腔颌面外科,福建福州350002 [2]福建医科大学口腔医学院,福建福州350004

出　　处：《口腔医学研究》2023年第11期965-968,共4页Journal of Oral Science Research

基　　金：福建省教育厅中青年教师教育项目(编号:JAT190230);福建医科大学启航项目(编号:2019QH1129)。

摘　　要：目的:探讨改良切口在上颌中低位埋伏阻生牙拔除术中的效果。方法:选取于2020年3月~2022年3月在我院口腔颌面外科门诊就诊的上颌中低位埋伏阻生牙患者50例。按随机数字表法将该群体随机平均分成实验组和对照组,每组各25例。实验组采用改良切口翻瓣术,对照组采用传统角形瓣翻瓣术。比较两种拔牙翻瓣术式切口缝合操作时间、肿胀情况、创口愈合情况、开口度、拆线操作时间的差异,运用简化McGill疼痛问卷评估两组患者疼痛差异,采用SPSS 21.0软件包对数据进行统计学分析。结果:实验组切口缝合、拆线操作时间均明显少于对照组(P<0.05)。实验组术后2天疼痛明显轻于对照组(P<0.05)。但实验组与对照组的肿胀、创口愈合、开口度情况比较无统计学差异(P>0.05)。结论:改良切口翻瓣术使缝合、拆线操作时间较传统角形瓣缩短,且缓解了术后疼痛反应,提高患者舒适度,值得推荐使用。Objective:To investigate the effects of modified incision in the extraction of maxillary middle or low position completely impacted teeth.Methods:Fifty patients with maxillary completely impacted teeth were selected in the Department of Oral and Maxillofacial Surgery of Stomatological Hospital of Fujian Medical University from March 2020 to March 2022.According to random number table method,they were divided into experimental group and control group.The experimental group was treated with modified incision flap,while the control group was treated with traditional angular flap.The incision suture time,swelling,wound healing,opening degree,and suture removal time were compared between two groups,and the pain difference was evaluated between 2 groups using the simplified McGill pain questionnaire.Results:The suture time and suture removal time in the experimental group were significantly shorter than those in the control group(P<0.05).Two days after surgery,the pain in the experimental group was significantly less than that in the control group(P<0.05).There were no significant differences in the swelling,wound healing,and opening degree between experimental group and control group(P>0.05).Conclusion:The modified incision flap can shorten the suture time and suture removal time significantly.Besides,it can reduce postoperative pain,which improves patient comfort and is worthy of clinical promotion.

关 键 词：上颌第三磨牙 阻生牙 拔牙 切口 翻瓣术 

分 类 号：R782.1[医药卫生—口腔医学]