摘要： 目的：评估全麻下拔除阻生第三磨牙的临床效果。方法：回顾性分析2008-01—2013-12期间，全麻下拔除阻生第三磨牙的病例200例，分析患者拔牙原因、临床特征及并发症。结果：200例患者共645颗阻生第三磨牙被拔除，最常见的拔牙原因是冠周炎；无全麻并发症发生，发生术后干槽症1例，感染2例，暂时性下牙槽神经损伤4例。结论：全麻下拔除阻生第三磨牙舒适、安全，并发症发生率低，值得向有适应证的患者推荐。

关键词: 第三磨牙, 阻生, 拔除, 全身麻醉

Abstract: Objective:  The purpose of this study was to evaluate the performance of impacted third molars surgery under general anesthesia. Methods: 200 patients operated between January 2008 and December 2013 were enrolled in this retrospective study. The causes of extraction operation, clinical signs and symptoms of impacted wisdom teeth, and postoperative complications were recorded and analyzed. Results: All 645 impacted third molars from 200 patients were successfully extracted under general anesthesia. The most frequent operative indication was  pericoronitis. No complications were related to general anesthesia. Dry socket occurred in 1 case, local infection occurred in 2 cases. There was neurological complication for the inferior alveolar nerve in 4 cases, the symptoms were transient. Conclusion: This surgical technique offers comfort and security for both surgeons and patients. The incidence of complications is in agreement with the literature data. This approach should be promoted.

Key words: third molar, impacted, extraction, general anesthesia

中图分类号: 

• R782.13