摘要： 目的： 探讨颊侧切口缝合法在下颌高位智齿拔除术中的临床意义。方法： 比较颊侧切口缝合法和简单拉拢缝合法在下颌高位智齿拔除术术后并发症的发生率。结果： 颊侧切口缝合法术后出血以及干槽症发生率明显小于简单拉拢缝合法，而面颊肿胀及张口受限发生率无显著差异。结论： 颊侧切口缝合法明显减少术后并发症的发生，大大减轻了患者痛苦。

关键词: 下颌, 智齿, 缝合, 拔牙创

Abstract:  Objective: To evaluate the clinical effects of additional buccal incision suture in the management of  high vertical impacted wisdom teeth extraction wounds. Methods: A retrospectively case series review of 240 patients. Group A (n=120), extraction wounds were closed by additional buccal incision suture; group B (n=120),  extraction wounds were closed by traditional interrupted suture. The postoperative complications were calculated and compared. Statistical analysis were performed with SPSS 13.0 software. Comparison between groups were done by the Student t test. A value of P<0.05 was considered statistically significant. Results: Postoperative complications such as hemorrhage and dry socket were less seen in group A. Traumatic facial edema and trismus showed no significant difference between the two groups. Conclusion: Additional buccal incision suture may be more beneficial to high vertical impacted wisdom teeth patients.

Key words: mandible, impacted wisdom tooth, suture, tooth extraction wound

中图分类号: 

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• R782.11