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    许乐, 洪礼琳, 刘玮佳, 蒋勇. 超声骨刀联合反角涡轮机拔除下颌阻生齿应用[J]. 蚌埠医科大学学报, 2023, 48(7): 922-924. DOI: 10.13898/j.cnki.issn.1000-2200.2023.07.015
    引用本文: 许乐, 洪礼琳, 刘玮佳, 蒋勇. 超声骨刀联合反角涡轮机拔除下颌阻生齿应用[J]. 蚌埠医科大学学报, 2023, 48(7): 922-924. DOI: 10.13898/j.cnki.issn.1000-2200.2023.07.015
    shu
    XU Le, HONG Li-lin, LIU Wei-jia, JIANG Yong. Application of piezosurgery combined with contra-angle high speed turbines in extraction of impacted mandibular teeth[J]. Journal of Bengbu Medical University, 2023, 48(7): 922-924. DOI: 10.13898/j.cnki.issn.1000-2200.2023.07.015
    Citation: XU Le, HONG Li-lin, LIU Wei-jia, JIANG Yong. Application of piezosurgery combined with contra-angle high speed turbines in extraction of impacted mandibular teeth[J]. Journal of Bengbu Medical University, 2023, 48(7): 922-924. DOI: 10.13898/j.cnki.issn.1000-2200.2023.07.015
    shu

    超声骨刀联合反角涡轮机拔除下颌阻生齿应用

    Application of piezosurgery combined with contra-angle high speed turbines in extraction of impacted mandibular teeth

      摘要
    • 摘要:
      目的探讨超声骨刀联合反角涡轮机在微创拔除下颌阻生齿中的应用。
      方法选取下颌近中阻生齿病人84例，随机分为超声骨刀组、反角涡轮机组和联合组，各28例，分别采用超声骨刀、反角涡轮机及超声骨刀联合反角涡轮机拔除阻生齿。比较3组病人手术时间和术后24 h疼痛、面部肿胀和张口度受限情况。
      结果联合组病人手术时间均短于反角涡轮机组和超声骨刀组(P < 0.05)。术后24 h，联合组VAS评分低于反角涡轮机组(P < 0.05)，3组疼痛程度、面部肿胀程度和开口受限程度差异均有统计学意义(P < 0.05)，联合组均优于反角涡轮机组和超声骨刀组。
      结论超声骨刀联合反角涡轮机可缩短拔除下颌阻生齿手术时间，提高手术效率，同时减轻病人术后反应，提高病人舒适度。

       

      Abstract:
      ObjectiveTo investigate the application in minimally invasive extraction of impacted mandibular teeth by using piezosurgery combined with contra-angle high speed turbines.
      MethodsEighty-four eligible patients were selected and randomly divided into piezosurgery, contra-angle high speed turbines, and the combined groups, with 28 cases in each group.The impacted teeth of the three groups were extracted by contra-angle high speed turbines, piezosurgery, and piezosurgery combined with contra-angle high speed turbines, respectively.The operation time, postoperative pain degree within 24 hours, mouth opening degree, and postoperative swelling degree of patients were compared among the three groups.
      ResultsThe operation time of patients in the combined group was shorter than that in contra-angle high speed turbines and piezosurgery groups (P < 0.05).Twenty-four hours after the operation, the VAS score of the combined group was lower than that of the contra-angle high speed turbines group (P < 0.05).There were statistically significant differences in postoperative pain degree, mouth opening degree, and postoperative swelling degree among the 3 groups (P < 0.05), and the combined group was better than the other two groups.
      ConclusionsPiezosurgery combined with contra-angle high speed turbines can shorten the operation time of teeth extraction, improve teeth extraction efficiency, reduce the postoperative reaction, and improve the comfort of patients.

       

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