|
- 2016
4+1操作配合模式在牙槽外科的初步建立和应用
|
Abstract:
摘要 目的: 探讨4+1操作配合模式在牙槽外科应用的临床意义。方法: 选择下颌骨性埋伏阻生智齿拔除患者526例,随机分为研究组271例,对照组255例;研究组在4手操作的基础上增设巡回人员1名,对照组只有4手操作,无巡回人员;观察比较两组下颌骨性埋伏阻生智齿拔除的手术时间、术后第3天患者手术侧面部肿胀及张口受限程度、术后伤口感染和干槽症的发生率。结果: 研究组手术时间明显短于对照组(P<0.05),手术侧面部肿胀度及患者张口受限度明显低于对照组(P<0.05),术后伤口感染发生率明显低于对照组(P<0.05),两组术后干槽症发生率均极低,未见明显区别。结论: 牙槽外科4+1操作配合模式可有效缩短手术时间,减轻患者术后不良反应,降低术后感染等并发症发生的风险
[1] | 雷荣昌,黎钢,马文涛,等.高速涡轮机去冠法在下颌近中阻生智齿拔除中的临床应用[J].口腔颌面外科杂志, 2009, 19(6)∶404-407 |
[2] | Uyanik LO, Bilginaylar K, Etikan I. Effects of platelet-rich fibrin and piezosurgery on impacted mandibular third molar surgery outcomes [J]. Head & Face Medicine, 2015, 11∶25 |
[3] | Srinivas M, Susarla BS, Bart F. Third molar surgery and associated complications [J]. J Oral Maxillofac Surg Clin N Am, 2003, 15(2)∶177-186 |
[4] | Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery [J]. Oral Maxillofac Surg Clin North Am. 2007, 19(1)∶117-128 |
[5] | Holmes DC, Squire LJ, Arneson SK, Doering JV. Comparison of student productivity in four-handed clinic and regular unassisted clinic [J]. Journal of Dental Education, 2009, 73(9)∶1083-1089 |
[6] | Singh N, Jain A, Sinha N, et al. Application of four-handed dentistry in clinical practice: a review [J]. International Journal of Dental Medical Research, 2014, 1(1)∶8-13 |
[7] | 麻键丰,潘乙怀.口腔护理四手操作参考细则[M].北京,科学出版社,2013 |
[8] | Gnül O, Satilmis T, Bayram F, et al. Effect of submucosal application of tramadol on postoperative pain after third molar surgery [J]. Head & Face Medicine, 2015, 11∶35 |
[9] | 赵吉宏.口腔颌面外科门诊手术操作规范与技巧[M].北京:北京大学出版社,2015,259-272 |
[10] | Pasqualini D, Erniani F, Coscia D, et al . Third molar extraction Current trends [J]. Minerva Stomatol, 2002, 51(10)∶411-424 |