天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (9): 1000-1002.doi: 10.11958/j.issn.0253-9896.2015.09.011

• 临床研究 • 上一篇    下一篇

龈瓣缝合类型对下颌阻生智齿拔除术后生活质量的影响

乔峰， 隋磊， 张健>   

  1.  天津医科大学口腔医院 （邮编300070）
  • 收稿日期:2014-11-04 修回日期:2015-04-22 出版日期:2015-09-15 发布日期:2015-09-15
  • 通讯作者: 乔峰 E-mail:qiaofng@gmail.com
  • 作者简介:乔峰 （1982）， 男， 主治医师， 硕士， 主要从事牙槽外科基础与临床方面研究
  • 基金资助:
    天津医科大学口腔医院科研基金 （2013YKYQ02）； 天津市应用基础及前沿技术研究计划项目 （11JCYBJC10100）； 天津市高校优秀青年教师资助计划 （019-0020180）

Effects of types of gingival flap suture on postoperative quality of life after removal of impacted mandibular wisdom teeth

QIAO Feng, SUI Lei, ZHANG Jian   

  1. The Stomatology Hospital of Tianjin Medical University, Tianjin 300070, China
  • Received:2014-11-04 Revised:2015-04-22 Published:2015-09-15 Online:2015-09-15
  • Contact: QIAO Feng E-mail:qiaofng@gmail.com

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摘要： 摘要:目的 评价下颌阻生智齿拔除术后不同牙龈瓣关闭缝合方式对患者术后生活质量的影响。方法 采用随机、 自身对照的临床试验设计， 选取就诊于天津医科大学口腔医院外科门诊要求拔除双侧对称阻生下颌第三磨牙患者 62 例， 龈瓣缝合时一侧采用封闭式缝合 （一期缝合）， 另一侧采用开放引流式缝合 （二期缝合）。应用下颌第三磨牙拔除术后症状严重度量表 （PoSSe 量表） 对患者进行术后生活质量的评价。分别于术后第 7 天完成评价并分析比较 2 组得分。结果 共 57 例患者资料进入结果分析， 一期缝合组手术用时 （17.7±4.6） min， 二期缝合组为 （16.3±5.1） min， 差异无统计学意义 （t=1.539， P＞0.05）。一期缝合组与二期缝合组的 PoSSe 量表分值分别为 26.348±12.414 和 21.633±11.382。前者高于后者 （P＜0.05）。结论 开放引流式缝合通过缓解疼痛、 肿胀在一定程度上减缓拔牙对患者生活质量的影响， 适于临床推广应用。

关键词: 牙龈, 缝合技术, 磨牙, 第三, 牙, 阻生, 拔牙, 生活质量, 龈瓣

Abstract: Abstract: Objective To evaluate effects of different types of gingival flap suture on the quality of life in patients after removal of mandibular third molar. Methods A randomized, controlled clinical trial design was adopted. Sixty-two patients in oral surgery department, Stomatology Hospital of Tianjin Medical University were selected. Patients were required removal of bilateral symmetry impacted mandibular third molars, and enclosed suture (primary suture) was used in one side, open drainage suture (secondary suture) was used in the other side. The postoperative symptom severity scale (PoSSe scale) was used to evaluate the quality of life in patients after removal of mandibular third molar. The evaluation was completed 7 days after surgery, and the scale was compared between two groups. Results A total of 57 cases of clinical data were enrolled in the final analysis. The operative time for primary suture group was (17.7±4.6) min, and the operative time for secondary su⁃ ture group was (16.3 ± 5.1) min, the difference was not statistically significant (t=1.539, P＞0.05). The PoSSe score was sig⁃ nificantly higher in primary suture group (26.348±12.414) than that of secondary suture group (21.633±11.382, P＜0.05). Conclusion Secondary suture reduces the influence of teeth removal on quality of life in patients through relieving pain and swelling, and which is suitable for clinical application.

Key words: gingiva, suture techniques, molar, third, tooth, impacted, tooth extraction, quality of life, gingival flap