改良三角瓣对下颌第三磨牙拔除术后并发症的影响及其临床应用

发布时间：2018-06-05 11:42

本文选题：翻瓣设计 + 改良三角瓣　；参考：《国际口腔医学杂志》2017年02期

【摘要】：目的通过对比改良三角瓣与传统三角瓣对下颌近中阻生第三磨牙拔除术后并发症的影响,探讨改良三角瓣的临床应用。方法选取110例门诊就诊需要拔除第三磨牙的患者,随机分为2组:改良三角瓣组和传统三角瓣组,记录患者术后2、7 d的疼痛程度、肿胀程度和张口受限程度,进行组间比较。结果术后2 d,改良三角瓣组的肿胀程度(Z=-3.432)和张口受限程度(t=19.188)均小于传统三角瓣组,其差异有统计学意义(P0.05),但术后7 d无此差别(P0.05)。而在疼痛程度方面,两者在术后2 d和术后7 d均未看到明显差异(P0.05)。结论与传统三角瓣相比,改良三角瓣早期并发症更轻,熟练掌握后操作更容易,值得推广。
[Abstract]:Objective to study the clinical application of modified triangular flap and traditional triangular flap by comparing the effect of modified triangular flap on the complications after extraction of the third molar of proximal and middle impacted mandible. Methods 110 patients who needed to remove the third molar were randomly divided into two groups: modified triangular valve group and traditional triangular flap group. The pain degree, swelling degree and limited opening degree were recorded 2 days after operation and compared between the two groups. Results on the 2nd day after operation, the swelling degree of the modified triangular valve group was significantly lower than that of the traditional triangular valve group (P 0.05), but there was no significant difference on the 7th day after operation (P 0.05). However, there was no significant difference in pain degree between the two groups on the 2nd and 7th day after operation (P 0.05). Conclusion compared with the traditional triangular flap, the early complications of the modified triangular flap are lighter, and the operation is easier after mastering it, which is worth popularizing.
【作者单位】：郑州市口腔医院口腔颌面外科;郑州大学第一附属医院口腔颌面外科;
【基金】：国家自然科学基金(81300843)~~
【分类号】：R782.11

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