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J Oral Rehabil:拔除阻生齿 改良三角瓣法或更好

2019-05-20 杨帆 编译 中国医学论坛报今日口腔

土耳其的一项调查研究显示,对于阻生第三磨牙拔除术后前3天的疼痛、张口受限和伤口裂开等方面,改良三角瓣或优于袋状皮瓣,对生活质量产生的有害影响亦更小。该论文5月3日在线发表于《口腔康复学杂志》( J Oral Rehabil )。


土耳其的一项调查研究显示,对于阻生第三磨牙拔除术后前3天的疼痛、张口受限和伤口裂开等方面,改良三角瓣或优于袋状皮瓣,对生活质量产生的有害影响亦更小。该论文5月3日在线发表于《口腔康复学杂志》( J Oral Rehabil )。

下颌阻生第三磨牙拔除术是口腔颌面外科最常见的手术之一,由于第三磨牙区有松散的结缔组织,术后通常会出现疼痛、肿胀、张口受限、发炎等并发症,对患者的生活质量产生有害影响。研究者为明确不同的皮瓣设计是否对术后并发症和生活质量产生不同的影响,展开一项前瞻性的随机对照试验,研究对象为在口腔颌面外科接受双侧下颌阻生第三磨牙拔除术的患者(女20例,男10例,平均年龄22.23±3.1岁),分两次拔除,一次为改良三角瓣设计,另一次为袋状瓣设计,两次拔牙之间至少间隔一个月。分别在术后第3天和第7天评价皮瓣设计对张口受限、肿胀、术区裂开、牙槽骨炎、血肿、感染和生活质量的影响,并在术后第1天、第3天和第7天评估疼痛程度。

研究结果显示,术后第3天,两组在张口受限、疼痛和术区裂开的评分上有显著差异,袋状瓣组镇痛药的用量(5.4±0.88)显著高于改良三角瓣组(3.9±1.85)(Z=-3.161;P=0.016),袋状瓣组术区裂开发生率高于改良三角瓣组(Z=2.33;P=0.020)。在术后第7天,这种差异只出现在张口受限方面。在术后第3天,两组间的社会隔离度(社交和工作)、饮食分量表及生活质量总分也有显著差异,改良三角瓣组受影响更小。

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    2019-05-25 小几洁
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    2019-06-14 HUDS-TMJ

    30例总数有统计学研究意义么?

    0

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    2019-05-22 qjddjq
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