超声骨刀联合高速气涡轮机法在下颌阻生第三磨牙拔除术中的效果及出血相关分析  

The effect and bleeding correlation analysis of ultrasound bone knife combined with high-speed gas turbine method in mandibular impacted third molar extraction surgery

作　　者：申林 赵娜 汪婷婷 张放 汪铭[2] Shen Lin;Zhao Na;Wang Tingting;Zhang Fang;Wang Ming(Department of Stomatology,Beijing First Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100026,China;Department of Stomatology,Affiliated of Nanjing University of Chinese Medicine to Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing 210014,China)

机构地区：[1]北京市第一中西医结合医院口腔科,北京100026 [2]南京中医药大学附属南京市中西医结合医院口腔科,南京210014

出　　处：《中国医学装备》2025年第4期79-83,共5页China Medical Equipment

摘　　要：目的:探究超声骨刀联合高速气涡轮机法在下颌阻生第三磨牙拔除术中的效果,并对出血情况进行相关分析。方法:选取2023年4月至2024年4月北京市第一中西医结合医院就医并行下颌阻生第三磨牙拔除术的152例患者,按术中器械使用类别不同将其分为观察组和对照组,每组76例。观察组手术为超声骨刀联合高速气涡轮机法,对照组仅使用高速气涡轮机法。比较两组一般资料、术中并发症发生率、手术时间、视觉模拟评分法(VAS)疼痛评估、牙槽窝受损程度、患者满意度、术后并发症患者数、术中出血量、术后出血时间与止血效果。结果:观察组术中邻牙松动、邻牙断裂或移位、牙根折断、舌侧骨板折断等并发症发生率为11.84%,低于对照组的23.68%,差异有统计学意义(x^(2)=3.958,P<0.05)。观察组手术耗时与VAS评分均低于对照组,差异有统计学意义(t=-7.875、-3.222,P<0.05),牙槽窝受损程度与术后并发症患者数显著低于对照组,差异均有统计学意义(t=-6.500,x^(2)=4.417,P<0.05)。观察组患者治疗满意度平均得分高于对照组,差异有统计学意义(t=4.242,P<0.05)。观察组术中出血量与术后出血时间均低于对照组,差异有统计学意义(t=-3.636、-9.191,P<0.001);且观察组止血效果得分优于对照组,差异有统计学意义(t=11.744,P<0.001)。结论:超声骨刀联合高速气涡轮机法拔除下颌阻生第三磨牙手术效果较好;且其在术中出血量、术后出血时间和止血效果方面表现更优。Objective:To explore the effect of ultrasound bone knife combined with high-speed gas turbine method in mandibular impacted third molar extraction surgery,and conduct relevant analysis for bleeding situation.Methods:A total of 152 patients who underwent mandibular impacted third molar extraction surgery at Beijing First Hospital of Integrated Traditional Chinese and Western Medicine from April 2023 to April 2024 were retrospectively selected.They were divided into an observation group and a control group based on the different types of used instruments during the operation,with 76 cases in each group.The observation group used ultrasound bone knife combined with high-speed gas turbine method,while the control group only used high-speed gas turbine.The general information,incidence of intraoperative complications,surgical time,visual analogue scale(VAS)for pain assessment,degree of alveolar damage,patient's satisfaction,the number of patients with postoperative complications,intraoperative bleeding volume,postoperative bleeding time,and hemostatic effect were compared between two groups.Results:The incidence of complications included loosening of adjacent tooth,fracture or displacement of adjacent tooth,root fracture,and fracture of lingual bone plate in the observation group was 11.84%,which was lower than 23.68%in the control group,and the difference was statistically significant(x^(2)=3.958,P<0.05).Both the surgical time and VAS score of the observation group were lower than those of the control group(t=-7.875,-3.222,P<0.05),and the degree of alveolar damage and the number of patients with postoperative complications in the observation group were significantly lower than those in the control group,with statistically significant differences(t=-6.500,x^(2)=4.417,P<0.05).The average score of patients’treatment satisfaction in the observation group was significantly higher than that in the control group(t=4.242,P<0.05).Both the intraoperatively blooding loss and the time of postoperative bleeding in the observati

关 键 词：超声骨刀 高速气涡轮机 下颌阻生第三磨牙 出血分析 

分 类 号：R782.11[医药卫生—口腔医学]