摘要
目的对比高速涡轮钻微创拔牙法与传统锤凿劈冠法在拔除下颌阻生智齿中的疗效。方法80例下颌阻生智齿患者,按照随机数字表法分为对照组(n=40,实施传统锤凿劈冠法进行治疗)及观察组(n=40,实施高速涡轮钻微创拔牙法进行治疗)。对比两组患者的手术指标(拔牙完整性评分、张口受限度、肿胀度评分、手术时间),术中和术后并发症发生率,治疗前后的生活质量评分、疼痛评分[视觉模拟评分法(VAS)]、负面情绪评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]。结果观察组患者拔牙完整性评分(1.69±0.40)分、肿胀度评分(1.76±0.41)分低于对照组的(3.33±1.07)、(3.26±1.08)分,张口受限度(4.01±1.59)mm小于对照组的(7.83±1.09)mm,手术时间(15.41±3.13)min短于对照组的(28.18±4.77)min(P<0.05)。治疗后,观察组患者的生理职能、社会功能、情感功能、生理功能、精神健康、精力、一般状况、躯体功能评分高于对照组(P<0.05)。观察组术中和术后并发症发生率(5.0%、7.5%)低于对照组(25.0%、27.5%)(P<0.05)。治疗后,观察组患者的VAS评分(2.65±0.86)分、SAS评分(36.65±3.42)分、SDS评分(35.15±3.25)分低于对照组的(5.43±1.19)、(46.98±4.91)、(45.32±4.56)分(P<0.05)。结论在下颌阻生智齿的拔除手术中应用高速涡轮钻微创拔牙法,可提升临床效果,且术中术后安全性较高,值得推广。
Objective To compare the efficacy of high-speed turbodrill minimally invasive tooth extraction and conventional bone chisel and crown splitting in extracting mandibular impacted wisdom teeth.Methods 80 patients with mandibular impacted wisdom teeth were divided into the control group(n=40,received conventional bone chisel and crown splitting)and the observation group(n=40,received high-speed turbodrill minimally invasive tooth extraction)according to random numerical table.Patients in both groups were compared in terms of surgical indicators(tooth extraction integrity score,mouth opening limit,swelling score,and surgery time),incidence of intraoperative and postoperative complications,quality of life score and pain score[Visual Analog Scale(VAS)]and negative emotion score[Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores]before and after treatment.Results The observation group had lower scores for tooth extraction integrity(1.69±0.40)points and swelling score(1.76±0.41)points compared to the control group[(3.33±1.07)and(3.26±1.08)points],the mouth opening limit(4.01±1.59)mm was smaller than the control group's(7.83±1.09)mm;the surgery time(15.41±3.13)min was shorter than the control group's(28.18±4.77)min(P<0.05).After treatment,the scores of physical function,social function,emotional function,mental health,energy,general condition and physical function of the patients in the observation group were higher than those in the control group(P<0.05).The incidence of intraoperative and postoperative complications in the observation group was lower than that in the control group(5.0%vs.25.0%,7.5%vs.27.5%;P<0.05).After treatment,the observation group had VAS score of(2.65±0.86)points,SAS score of(36.65±3.42)points,and SDS score of(35.15±3.25)points,which were lower than those of the control group[(5.43±1.19),(46.98±4.91),and(45.32±4.56)points](P<0.05).Conclusion In the extraction of mandibular impacted wisdom teeth,the application of high-speed turbodrill minimally invasive tooth extraction can improve its clinical effect,and the intraoperative and postoperative safety is high,which is worth promoting.
作者
张闫
ZHANG Yan(Guoyang People's Hospital,Bozhou 233600,China)
出处
《中国实用医药》
2026年第4期45-48,共4页
China Practical Medicine
关键词
高速涡轮钻微创拔牙法
下颌阻生智齿
临床疗效
安全性
High-speed turbodrill minimally invasive tooth extraction
Mandibular impacted wisdom teeth
Clinical efficacy
Security
