下颌阻生第三磨牙拔除患者下牙槽神经损伤发生情况及其危险因素分析  

Analysis of the Incidence and Risk Factors of Inferior Alveolar Nerve Injury in Patients with Impacted Mandibular Third Molar Extraction

作　　者：孟云 MENG Yun(Department of Stomatology,Jinan Zhangqiu District Stomatological Hospital,Jinan 250000,China)

机构地区：[1]山东省济南市章丘区口腔医院口腔外科,山东济南250000

出　　处：《中国伤残医学》2024年第24期78-81,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析下颌阻生第三磨牙(IMTM)拔除患者下牙槽神经(IAN)损伤发生情况与相关危险因素。方法:回顾性分析2023年4月—2024年4月于济南市章丘区口腔医院行IMTM拔除的100例患者资料,根据其是否发生IAN损伤将其分为发生组(n=23)与未发生组(n=77)。对IMTM拔除患者IAN损伤发生的相关因素进行分析,采用Logistic回归分析其危险因素。结果:100例IMTM拔除患者中,IAN损伤率为23.00%。单因素分析显示:年龄、手术切口、拔牙器械、术后其他并发症与IMTM拔除患者IAN损伤发生有关(P<0.05)。Logistic回归分析结果显示:年龄>45岁、手术切口为传统三角瓣、拔牙器械为拔牙挺、术后有其他并发症为IMTM拔除患者IAN损伤发生的危险因素(P<0.05)。结论:年龄>45岁、手术切口为传统三角瓣、拔牙器械为拔牙挺、术后有其他并发症为IMTM患者IAN损伤发生的危险因素,临床重点关注以上高危因素。Objective:To analyze the incidence of inferior alveolar nerve(IAN)injury and related risk factors in patients with mandibular impacted mandibular third molar(IMTM)extraction.Methods:The data of 100 patients with IMTM extraction admitted to Jinan Zhangqiu District Stomatological Hospital from April 2023 to April 2024 were retrospectively analyzed,and they were divided into occurrence group(n=23)and non-occurrence group(n=77)according to whether they had IAN injury.The risk factors of IAN injury in IMTM removal patients were analyzed by Logistic regression.Results:In 100 patients with IMTM extraction,the rate of IAN injury was 23.00%.Univariate analysis showed that age,incision,instruments and other postoperative complications were related to the occurrence of IAN injury in IMTM extraction patients(P<0.05).Logistic regression analysis showed that the risk factors for IAN injury were age>45 years,traditional triangular flap incision,tooth instrument and other complications after IMTM extraction(P<0.05).Conclusion:Age>45 years old,traditional triangular flap incision,tooth extraction instrument and other postoperative complications are the risk factors for IAN injury in IMTM patients,and clinical attention should be paid to these risk factors.

关 键 词：下牙槽神经损伤 下颌阻生第三磨牙 危险因素 

分 类 号：R78[医药卫生—口腔医学]