改良角形瓣切口不同愈合方式对下颌埋伏阻生牙拔除患者术后恢复及并发症的影响  

The Impact of Different Healing Methods for Modified triangular Flap Incisions on Postoperative Recovery and Complications in Patients Undergoing Extraction of Impacted Mandibular Molars

作　　者：王芳芳 霍静利 苗喜顺 孙小艳[1] WANG Fangfang;HUO Jingli;MIAO Xishun;SUN Xiaoyan(Department of Stomatology,Second People's Hospital of Jiaozuo,Jiaozuo Henan 454000,China;Department of Stomatology,Jiaozuo Maternal and Child Health Hospital,Jiaozuo Henan 454000,China)

机构地区：[1]焦作市第二人民医院口腔科,河南焦作454000 [2]焦作市妇幼保健院口腔科,河南焦作454000

出　　处：《临床研究》2024年第12期5-8,共4页Clinical Research

摘　　要：目的探讨改良角形瓣切口一期缝合和二期缝合对下颌埋伏阻生牙拔除患者术后恢复及并发症的影响。方法选取2022年1月至2022年12月在焦作市第二人民医院需行下颌埋伏阻生牙拔除术的82例患者,采用随机数字表法分为A组(41例)和B组(41例),两组均采用改良角形瓣切口拔除下颌埋伏阻生牙,其中A组拔牙后采用一期缝合,完全关闭创口,B组拔牙后在第二磨牙远中留三角形牙龈缺损,行二期缝合。记录两组患者拔牙手术时间和术后切口愈合时间,术后疼痛视觉模拟评分(VAS),术前、术后肿胀程度和张口度变化,以及术后并发症发生情况。结果两组患者下颌埋伏阻生牙拔除术手术时间比较,差异无统计学意义(P>0.05),A组患者切口愈合时间短于B组,差异有统计学意义(P<0.05)。两组术后VAS评分降低,差异有统计学意义(P<0.05),A组患者术后第1 d、术后第2 d的VAS评分高于B组,差异有统计学意义(P<0.05),但术后第7 d两组患者VAS评分比较,差异无统计学意义(P>0.05)。两组患者术前、术后第7 d肿胀程度、张口度经比较,差异无统计学意义(P>0.05),但A组患者术后第2 d肿胀程度高于B组、张口度低于B组,差异有统计学意义(P<0.05)。两组患者术后切口感染、干槽症发生率比较,差异无统计学意义(P>0.05),B组患者术后疼痛、张口受限、局部肿胀并发症发生率低于A组,差异有统计学意义(P<0.05)。结论一期缝合能缩短下颌埋伏阻生牙患者拔除术后切口愈合时间,但二期缝合能显著降低术后疼痛、局部肿胀、张口受限发生率。Objective To investigate the effects of primary and secondary suturing techniques for modified triangularflap incisions on postoperative recovery and complications in patients undergoing extraction of impacted mandibular molars.Methods A total of 82 patients who required Impacted mandibular molars extraction from January 2022 to December 2022 in the Second People's Hospital of Jiaozuo were selected and randomly divided into Group A(41 cases)and Group B(41 cases)according to the random number table.Both groups underwent Impacted mandibular molars extraction with a modified triangularflap incision.In Group A,primary suturing was performed after tooth extraction,fully closing the wound,while Group B left a triangular gingival defect distal to the second molar and performed secondary suturing.The surgical duration,wound healing time,postoperative Visual Analog Scale(VAS)pain scores,pre-and postoperative swelling levels,mouth opening range,and incidence of postoperative complications were recorded.Results There was no statistically significant difference in surgical duration between the two groups(P>0.05).The wound healing time in Group A was shorter than that in Group B,with a statistically significant difference(P<0.05).Postoperatively,the VAS scores in both groups decreased,and the difference was statistically significant(P<0.05).However,VAS scores for Group A were higher than those for Group B on postoperative day 1 and day 2,with significant differences(P<0.05),while there was no significant difference between the two groups on postoperative day 7(P>0.05).There was no statistically significant difference in swelling levels and mouth opening range between the two groups preoperatively and on postoperative day 7(P>0.05).However,on postoperative day 2,swelling in Group A was greater,and mouth opening was less compared to Group B,with a statistically significant difference(P<0.05).The incidences of wound infection and dry socket between the two groups were not statistically significant(P>0.05).The rates of postoperat

关 键 词：下颌埋伏阻生牙 改良角形瓣切口 愈合方式 术后恢复 并发症 

分 类 号：R782.2[医药卫生—口腔医学]