810 nm波长半导体激光治疗口腔黏液腺囊肿的临床疗效观察  

Clinical observation of 810 nm diode laser in the treatment of salivary gland mucocele

作　　者：王雪 张宁 WANG Xue;ZHANG Ning(Department of Stomatology,General Hospital of Northern Theater Command.Shenyang 110016,Liaoning Province,China)

机构地区：[1]北部战区总医院口腔科,辽宁沈阳110016

出　　处：《中国口腔颌面外科杂志》2024年第5期459-462,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:观察810 nm波长半导体激光治疗口腔黏液腺囊肿的临床疗效。方法:选择2018年3月—2019年6月于北部战区总医院口腔科就诊的黏液腺囊肿患者42例,根据治疗方法分为传统手术组(22例)和激光治疗组(20例)。对2组术后疼痛程度、操作时间、安全性、疗效进行比较。采用SPSS 25.0软件包对数据进行统计学分析。结果:激光治疗组术后前3天的疼痛评分均显著低于传统手术组(P<0.05);激光治疗组手术操作时间为(13.60±1.60)min,显著短于传统手术组的(16.10±1.18)min(P<0.05)。激光治疗组24 h疼痛或感觉异常、48 h红肿发生率显著低于传统手术组(P<0.05),而48 h局部渗出、1个月后色素沉着、局部硬化或瘢痕形成,2组发生率无统计学差异(P>0.05)。2组术后3个月、6个月、1年、2年的治愈率无统计学差异(P>0.05)。结论:应用810 nm波长激光治疗黏液腺囊肿,全程不出血,操作时间短,复发率低,术后反应小,对于无法接受手术的患者,可作为一种新的选择。PURPOSE:To observe the curative effect of 810 nm diode laser in the treatment of salivary gland mucocele.METHODS:Forty-two patients with salivary gland mucocele who were treated at the Department of Stomatology,General Hospital of Northern Theater Command from March 2018 to June 2019 were selected.According to the treatment methods,they were divided into traditional surgery group(n=22)and laser treatment group(n=20).The VAS of postoperative pain degree,operating time,security,therapeutic effect of the two groups were evaluated.SPSS 25.0 software package was used for data analysis.RESULTS:The pain scores of the first 3 days after surgery in the laser treatment group were significantly lower than those in the traditional surgery group(P<0.05).The operation time of laser treatment group was(13.60±1.60)min,which was significantly shorter than that of conventional surgery group(16.10±1.18)min(P<0.05).The incidence of pain or paresthesia at 24 h and swelling at 48 h in the laser treatment group was significantly lower than that in the traditional surgery group(P<0.05),but there was no significant difference in the incidence of local exudation at 48 h,pigmentation one month later,local sclerosis or scar formation between the two groups(P>0.05).There was no significant difference in the cure rate at 3 months,6 months,1 year and 2 years between the two groups(P>0.05).CONCLUSIONS:The application of 810 nm diode laser in the treatment of salivary gland mucocele has the advantages of no bleeding in the whole process,short operation time,low recurrence rate and fewer postoperative reactions.It can be used as a new option for patients who cannot accept surgery.

关 键 词：黏液腺囊肿 激光治疗 手术治疗 

分 类 号：R739.8[医药卫生—肿瘤]