高速涡轮钻微创手术治疗阻生智齿患者的临床疗效及对术后疼痛程度的影响  

Clinical effect of minimally invasive surgery with high speed turbine drill in the treatment of patients with impacted wisdom teeth and the impact on postoperative pain degree

作　　者：张俊 邓四海 詹骏 ZHANG Jun;DENG Sihai;ZHAN Jun(Department of Stomatology,Pingxiang People's Hospital,Pingxiang,Jiangxi,337000,China;Department of Laboratory,Pingxiang Maternity and Child Care Hospital,Pingxiang,Jiangxi,337000,China)

机构地区：[1]萍乡市人民医院口腔科,江西萍乡337000 [2]萍乡市妇幼保健院检验科,江西萍乡337000

出　　处：《当代医学》2024年第9期39-43,共5页Contemporary Medicine

摘　　要：目的观察高速涡轮钻微创手术对阻生智齿患者的临床疗效及术后疼痛程度影响。方法选取萍乡市妇幼保健院2019年3月至2021年11月收治的84例阻生智齿患者作为研究对象,按照随机数字表法分为观察组与对照组,每组42例。对照组采取传统拔牙术治疗,观察组采取高速涡轮钻微创手术治疗。比较两组手术相关指标、手术部位疼痛程度、术后张口受限度、炎症因子水平、术后并发症发生率。结果观察组手术时间短于对照组,术中出血量少于对照组,术后面部肿胀程度小于对照组,拔牙完整率、牙窝完整率均高于对照组,术后断根率低于对照组,差异有统计学意义(P<0.05)。术后第1、3、7天,两组视觉模拟评分法(VAS)评分均低于术后前一时间点,且观察组低于对照组,差异有统计学意义(P<0.05)。两组术后张口首受限Ⅱ度比较差异无统计学意义;观察组术后张口受限Ⅰ度高于对照组,Ⅲ度低于对照组,差异有统计学意义(P<0.05),治疗后,两组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、细胞间黏附细胞因子1(ICAM1)、过氧化物酶(MPO)水平均高于治疗前,但观察组IL-6、TNF-α、ICM1、MPO水平均低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率比较低于对照组,差异有统计学意义(P<0.05)。结论低度直机联合高速涡轮钻微创手术阻生智齿疗效显著,能有效减轻患者疼痛程度,张口受限程度较小,对炎症因子影响较小,值得临床推广应用。Objective To observe the clinical effect of minimally invasive surgery with high-speed turbine drill in patients with impacted wis-dom teeth,and the impact on postoperative pain degree.Methods 84 patients with impacted wisdom teeth admitted to Pingxiang Maternity and Child Care Hospital from March 2019 to November 2021 were selected as the study subjects,and they were divided into the observation group and the control group according to the random number table method,with 42 cases in each group.The control group underwent traditional tooth extraction,and the observation group underwent minimally invasive surgery with high-speed turbine drill.Surgery-related indicators,pain degree at the surgical site,postoperative limitation of mouth opening,the levels of inflammatory factors,and the incidence of postoperative complications were compared between the two groups.Results Surgery time in the observation group was shorter than that in the control group,the intraoperative blood loss was less than that in the control group,and postoperative facial swelling was milder than that in the control group,the integrity rates of tooth extracted and dental fossawere higher than those in the control group,and postoperative root amputationratewas lower than that in the control group,the differences were statistically significant(P<0.05).On the 1 st,3 rd and 7 th day after operation,the visual analogue scale(VAS)scores of the two groups were lower than those at the previous time point after operation,and the observation group was lower than the control group,the differences were statistical-ly significant(P<0.05).There was no statistically significant difference in gradeⅡlimitation of mouth opening between the two groups after surgery;the proportion of gradeⅠlimitation of mouth opening in the observation group was higher than that in the control group,and the proportion of gradeⅢlimitation of mouth opening was lower than that in the control group,the differences were statistically significant(P<0.05).After treatment,the levels

关 键 词：低度直机 高速涡轮钻微创手术 阻生智齿 疼痛程度 张口受限程度 

分 类 号：R782.11[医药卫生—口腔医学]