锥形束CT联合超声骨刀微创法治疗儿童上颌埋伏多生牙的临床疗效  

Clinical effect of conical beam CT combined with bone knife ultrasonography in the treatment of maxillary embedded teeth in children

作　　者：陈丹 何晓玲 唐坤伦 CHEN Dan;HE Xiao-ling;TANG Kun-lun(Department of Stomatology,Women and Children's Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu Women and Children's Central Hospital,Chengdu Sichuan 610073,China)

机构地区：[1]电子科技大学医学院附属妇女儿童医院(成都市妇女儿童中心医院)口腔科,四川成都610073

出　　处：《临床和实验医学杂志》2024年第5期536-539,共4页Journal of Clinical and Experimental Medicine

基　　金：四川省卫生健康委员会科研课题(编号:20PJ184)。

摘　　要：目的观察锥形束电子计算机断层扫描(CBCT)联合超声骨刀微创法治疗儿童上颌埋伏多生牙的临床疗效。方法回顾性分析电子科技大学医学院附属妇女儿童医院(成都市妇女儿童中心医院)2021年1月至2023年1月入院的60例上颌埋伏多生牙患儿,根据治疗方式不同将其分为研究组(n=30)与对照组(n=30)。两组患儿均接受锥形束CT检查,研究组行超声骨刀手术治疗,对照组行电动式颌面外科微动力手术治疗。比较两组患者的围术期指标(出血量、手术时间、手术成功率、出院时间)、术后牙齿松动度、张口度、疼痛评分[视觉模拟评分法(VAS)]及并发症(麻醉注射反应、面部肿胀、鼻腔出血)发生率。结果两组患儿的手术时间、手术成功率比较,差异均无统计学意义(P>0.05);研究组患儿出血量、出院时间分别为(2.15±1.18)mL、(24.47±3.25)h,分别低(短)于对照组[(12.42±5.03)mL、(34.79±4.23)h],差异均有统计学意义(P<0.05)。研究组患儿的牙齿松动总发生率为46.67%,明显低于对照组(73.33%),差异有统计学意义(P<0.05)。研究组患儿术后1、3、7 d张口度依次为(9.01±1.27)、(17.03±3.71)、(22.49±4.28)mm,均大于对照组[(8.19±1.18)、(15.06±3.37)、(20.25±3.81)mm],差异均有统计学意义(P<0.05)。研究组患儿术后1、3、7 d VAS评分依次为(5.39±0.68)、(3.25±0.49)、(1.24±0.28)分,均明显低于对照组[(5.81±0.62)、(3.71±0.53)、(1.71±0.31)分],差异均有统计学意义(P<0.05)。两组患儿术后总并发症发生率比较,差异无统计学意义(P>0.05)。结论CBCT联合超声骨刀微创法治疗儿童上颌埋伏多生牙的临床疗效显著,可有效减少患儿手术创伤及疼痛程度,降低牙齿松动度发生风险,扩大张口度,且并发症少,安全性高。Objective To study the clinical effect of conical beam electronic computed tomography(CBCT)combined with ultrasonic bone knife in the treatment of children with maxillary embedded multiple teeth.Methods The research method was retrospective analysis.The observation objects were 60 children with maxillary supernumerary teeth who were admitted to Women and Children's Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu Women and Children's Central Hospital from January 2021 to January 2023.The reference treatment methods were divided into the study group(n=30)and the control group(n=30).Both groups of children received cone-beam CT examination.The study group was treated with ultrasonic osteotome surgery,while the control group was treated with electric maxillofacial surgery with micro-power surgery.The perioperative indicators(anesthetic dosage,blood loss,operation time,operation success rate and discharge time),postoperative tooth looseness,mouth opening,pain score and the incidence of complications(anesthesia injection reaction,facial swelling and nasal bleeding)were compared between the two groups.Results There were no statistically significant differences in operation time and success rate between the two groups(P>0.05);the blood loss and discharge time of the study group were(2.15±1.18)mL,(24.47±3.25)h,respectively,which were lower(shorter)than those of the control group[(12.42±5.03),(34.79±4.23)h],and the differences were statistically significant(P<0.05).The overall incidence of tooth loosening in the study group was 46.67%,which was significantly lower than that in the control group(73.33%),and the difference were statistically significant(P<0.05).The mouth opening in the study group at 1,3 and 7 d after surgery were(9.01±1.27),(17.03±3.71),(22,49±4.28)mm,respectively,which were higher than those in the control group[(8.19±1.18),(15.06±3.37)and(20,25±3.81)mm],the differences were statistically significant(P<0.05).The VAS scores of the study group at 1,3 and

关 键 词：儿童 上颌埋伏多生牙 锥形束电子计算机断层扫描 超声骨刀 微创 张口度 

分 类 号：R782.11[医药卫生—口腔医学]