高速涡轮手机与超声骨刀去骨对颌骨囊肿患者术后疼痛、肿胀及预后的影响OA
Impact of High-Speed Turbine Handpiece and Ultrasonic Bone Scalpel for Bone Removal on Postoperative Pain,Swelling,and Prognosis in Patients with Jaw Cysts
目的 对比分析高速涡轮手机与超声骨刀去骨在颌骨囊肿患者中的应用效果.方法 选取 2024 年 1 月至 2025年 8 月本院收治的 160 例颌骨囊肿患者,按随机数字表法分为两组,各 80 例.对照组予以高速涡轮手机去骨治疗,观察组行超声骨刀去骨治疗.对比两组的手术相关指标、术后疼痛程度、术后肿胀程度、骨愈合情况、并发症.结果 与对照组相比,观察组的手术时间更长,术中出血量更少,骨愈合情况更优,术后各时间点的视觉模拟疼痛评分法(VAS)评分及肿胀程度评分更低,有统计学差异(P<0.05).两组的并发症发生率对比(3.75%vs.6.25%)无统计学差异(P>0.05).结论 超声骨刀去骨虽然会延长手术时间,但具有出血少、疼痛轻、肿胀轻、骨愈合效果好等优势,且无严重并发症,有助于改善患者预后,值得临床借鉴.
Objective To compare and analyze the application effects of high-speed turbine handpiece and ultrasonic bone scalpel for bone removal in the treatment of patients with jaw cyst.Methods A total of 160 patients with jaw cyst admitted to our hospital from January 2024 to August 2025 were selected and randomly divided into two groups using a random number table,with 80 patients in each group.The control group received treatment using a high-speed turbine handpiece for bone removal,while the observation group underwent treatment with an ultrasonic bone scalpel for bone removal.The surgery-related indicators,postoperative pain degree,postoperative swelling,bone healing,and complications were compared between the two groups.Results Compared with the control group,the observation group had longer operative time,less intraoperative blood loss,better bone healing state,and lower Visual Analog Scale(VAS)pain scores and swelling degree scores at various postoperative time points,with statistically significant difference(P<0.05).No statistically significant difference was found in the incidence of complications(3.75%vs.6.25%)between the two groups(P>0.05).Conclusions Although it prolongs the operative time,the ultrasonic bone scalpel for bone removal offers advantages such as reduced bleeding,less pain and swelling,and improved bone healing effect,without serious complications,which contributes to better patients'prognosis,and is worthy of clinical reference.
曾蒂;赵普;杜金凯
五四一总医院口腔科,山西 运城 043800五四一总医院口腔科,山西 运城 043800五四一总医院口腔科,山西 运城 043800
医药卫生
颌骨囊肿高速涡轮手机超声骨刀
Jaw cystHigh-speed turbine handpieceUltrasonic bone scalpel
《临床医学工程》 2026 (3)
339-342,4
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