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比较科罗拉多显微解剖针、电外科刀头和手术刀片在牙周手术中所做切口的效果：一项随机对照试验。

Comparing the outcomes of incisions made by colorado microdissection needle, electrosurgery tip, and surgical blade during periodontal surgery: A randomized controlled trial.

作者信息

Chandra Rampalli Viswa, Savitharani Boya, Reddy Aileni Amarender

机构信息

Department of Periodontics, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.

出版信息

J Indian Soc Periodontol. 2016 Nov-Dec;20(6):616-622. doi: 10.4103/jisp.jisp_27_17.

DOI:10.4103/jisp.jisp_27_17
PMID:29238142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5713085/
Abstract

CONTEXT

Electrosurgery offers many unique advantages such as hemostasis and precise tissue cutting; however, there are a number of disadvantages including thermal injury and delayed wound healing.

AIMS

The aim of the present study was to compare the outcomes of incisions made by Colorado microdissection needle, electrosurgery tip, and surgical blade during periodontal surgery.

SETTINGS AND DESIGN

Twenty-two individuals participated in this study. Three quadrants in each individual were randomly assigned into each of the following experimental groups: Colorado microdissection needle (CMD), electrosurgery tip (EC) and surgical blade (BP), in which, incisions were given with Colorado microdissection needle, straight electrocautery tip, and a scalpel blade, respectively.

MATERIALS AND METHODS

Blood loss (BL) was measured immediately after surgery, and changes in interdental papilla dimensions were recorded at baseline, 7, 30, 120, and 180 days after surgery. Measures of periodontal disease were recorded at baseline, 120, and 180 days after surgery. Postoperative pain and wound healing were recorded at 1, 7, and 15 days after surgery.

RESULTS

The use of CMD for periodontal surgery showed better results over EC in all parameters. CMD resulted in lesser bleeding and less postoperative pain and attained similar results to that of BP in clinical parameters of periodontal disease.

CONCLUSIONS

Colorado microdissection needle may be a better choice for incisions as it seems to show less tissue damage than cautery and offers tissue healing comparable to scalpel blade.

摘要

背景

电外科手术具有许多独特的优势，如止血和精确的组织切割；然而，也存在一些缺点，包括热损伤和伤口愈合延迟。

目的

本研究的目的是比较在牙周手术中使用科罗拉多微解剖针、电外科手术尖端和手术刀进行切口的效果。

设置与设计

22名个体参与了本研究。每个个体的三个象限被随机分配到以下每个实验组：科罗拉多微解剖针（CMD）、电外科手术尖端（EC）和手术刀（BP），分别使用科罗拉多微解剖针、直型电灼尖端和手术刀刀片进行切口。

材料与方法

术后立即测量失血量（BL），并在基线、术后7天、30天、120天和180天记录牙间乳头尺寸的变化。在基线、术后120天和180天记录牙周疾病的测量指标。在术后1天、7天和15天记录术后疼痛和伤口愈合情况。

结果

在所有参数方面，在牙周手术中使用CMD的效果优于EC。CMD导致的出血更少，术后疼痛更轻，在牙周疾病的临床参数方面与BP取得了相似的结果。

结论

科罗拉多微解剖针可能是切口的更好选择，因为它似乎比电灼显示出更少的组织损伤，并且提供与手术刀刀片相当的组织愈合效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/55d371cb8f00/JISP-20-616-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/616cd151f001/JISP-20-616-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/bf3edcee2810/JISP-20-616-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/c2dd6b93e66d/JISP-20-616-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/e716938227f5/JISP-20-616-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/69ddc61d4419/JISP-20-616-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/55d371cb8f00/JISP-20-616-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/616cd151f001/JISP-20-616-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/bf3edcee2810/JISP-20-616-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/c2dd6b93e66d/JISP-20-616-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/e716938227f5/JISP-20-616-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/69ddc61d4419/JISP-20-616-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a243/5713085/55d371cb8f00/JISP-20-616-g007.jpg

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