摘要：
目的：探讨超声骨刀在牙瘤摘除手术中的临床应用价值。方法：选取我院2017年6月—2019年5月收治的符合纳入标准的102例牙瘤患者。将患者随机分为2组，研究组和对照组，每组各51例，其中研究组使用超声骨刀去骨，对照组使用高速涡轮机去骨，记录2组的手术时间、出血量、疼痛程度及术后并发症的发生率。结果：研究组平均手术时间为（36.25±5.25） min，对照组平均手术时间为（33.40±4.75） min，2组手术时间比较，差异无统计学意义（P>0.05）。研究组平均术中出血量为（28.68±4.68） mL，对照组平均术中出血量为（40.66±6.46） mL，2组手术中的出血量比较,差异有统计学意义（P<0.05）。研究组术后 24 h疼痛程度与对照组比明显轻，2组比较差异有统计学意义（P<0.05）。研究组术后并发症的发生率为0，对照组术后并发症的发生率为13.7%，2组术后并发症发生率比较，差异有统计学意义（P<0.05）。结论：与高速涡轮手机相比,超声骨刀在临床使用中不仅损伤小、安全性高、精确度高,且术后出现各种并发症的概率更低,值得临床推广。
关键词:
超声骨刀,
牙瘤,
高速涡轮机
Abstract:
Objective: To investigate the clinical value of piezosurgery in the enucleation of odontoma. Methods: A total of 102 patients with odontoma who met the inclusion criteria in our hospital from June 2017 to May 2019 were randomly divided into two groups, the research group(n=51) and the control group(n=51). The control group used high-speed turbine handpieces to remove bone, the research group used piezosurgery to remove bone. The operation time, blood loss, pain degree and the incidence of postoperative complications were recorded. Results: The average operation time was(36.25±5.25) min in the research group and(33.40±4.75) min in the control group. There was no significant difference in operation time between the two groups(P>0.05). The average intraoperative blood loss was（28.68±4.68） mL in the research group and（40.66±6.46） mL in the control group. There was a significant difference in intraoperative blood loss between the two groups(P<0.05). The degree of pain at 24 hours after operation in the research group was significantly less severe than that in the control group, and there was a significant difference between the two groups(P<0.05). The incidence of postoperative complications was 0 in the research group and 13.7% in the control group. There was a significant difference in the incidence of postoperative complications between the two groups(P<0.05). Conclusion: Compared with high-speed turbine handpieces, piezosurgery not only has less injury, more safety and higher accuracy in clinical use, but also has a lower probability of postoperative complications, which is worth popularizing in clinical practice.
Key words:
piezosurgery,
odontoma,
high-speed turbine handpieces
中图分类号:
潘远建, 谢梦兰, 李少萍, 贾搏, 邹柳芳, 高文峰. 超声骨刀在牙瘤摘除术中的临床应用[J]. 《口腔颌面外科杂志》, 2021, 31(3): 173-176.
PAN Yuanjian, XIE Menglan, LI Shaoping, JIA Bo, ZOU Liufang, GAO Wenfeng. Clinical application of piezosurgery in the enucleation of odontoma[J]. 《Journal of Oral and Maxillofacial Surgery》, 2021, 31(3): 173-176.