《Journal of Oral and Maxillofacial Surgery》 ›› 2021, Vol. 31 ›› Issue (3): 173-176. doi: 10.3969/j.issn.1005-4979.2021.03.008

• Clinical Report • Previous Articles     Next Articles

Clinical application of piezosurgery in the enucleation of odontoma

PAN Yuanjian1(), XIE Menglan1, LI Shaoping2, JIA Bo1, ZOU Liufang1, GAO Wenfeng1()   

  1. 1 Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Southern Medical University, Guangzhou 510280, Guangdong Province
    2 Department of Implantology and Prosthodontics, Panyu Branch of Stomatological Hospital, Southern Medical University, Guangzhou 511400, Guangdong Province, China
  • Received:2020-05-08 Revised:2021-01-15 Online:2021-06-28 Published:2021-07-08

超声骨刀在牙瘤摘除术中的临床应用

潘远建1(), 谢梦兰1, 李少萍2, 贾搏1, 邹柳芳1, 高文峰1()   

  1. 1 南方医科大学口腔医院口腔颌面外科,广东 广州 510280
    2 南方医科大学口腔医院番禺分院种植修复科,广东 广州 511400
  • 通讯作者: 高文峰,副主任医师. E-mail: 399565@qq.com
  • 作者简介:

    潘远建(1983—),女,四川达州人,主管护师,学士. E-mail:

  • 基金资助:
    广州市科技计划项目(201802020018)

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

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

CLC Number: