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口腔颌面医学门诊手术患者疾病构成比及预后分析:单中心回顾性分析 427 例患者

Analysis of the disease constituent ratio and prognosis of patients undergoing ambulatory surgery in oral and maxillofacial medicine: A monocentric retrospective analysis of 427 patients.

机构信息

Department of Stomatology, The First Affiliated Hospital of Anhui Medical University, 218 Jixilu Rd., Hefei, China, 230022.

Ambulatory Surgery Centers, The First Affiliated Hospital of Anhui Medical University, 218 Jixilu Rd., Hefei, China, 230022.

出版信息

J Stomatol Oral Maxillofac Surg. 2023 Feb;124(1):101266. doi: 10.1016/j.jormas.2022.08.009. Epub 2022 Aug 17.

Abstract

BACKGROUND

Ambulatory surgery and single-visit surgery are becoming increasingly accepted and practiced.

MATERIALS AND METHODS

The clinical data of patients undergoing ambulatory surgery were collected, and information on their chief complaint and basic information was specifically included. Follow-up phone calls were conducted 1 and 3 days, 1 and 2 weeks, and 1 month after treatment. Information on their recovery and well-being was collected.

RESULTS

A total of 427 patients (males: 224, females: 203, average age: 23.07±11 years) were recruited for this study. A total of 43.55% of the patients chose ambulatory surgery. A total of 62.9% of them selected it for convenience, while 43.55% selected it for pain reduction. The top three diseases treated by ambulatory surgery were impacted teeth (56.7%), jaw cyst (14.75%) and supernumerary teeth (10.07%). Postoperative complications occurred in 248 of the 427 patients, with an incidence rate of 58.08%. The complication that occurred most frequently was postoperative pain (56.44%). Complications frequently occurred on Day 3 after the operation and resolved after 2 weeks.

CONCLUSION

After being diagnosed, ambulatory surgery is an effective mode of treatment for oral and maxillofacial diseases. Oral hygiene, professional postoperative follow-up visits and rigorous anesthesia evaluation are very important for ambulatory surgery for oral and maxillofacial diseases.

摘要

背景

日间手术和单次就诊手术正日益被接受和施行。

材料和方法

收集行日间手术患者的临床资料,详细记录其主诉及基本信息。于治疗后 1 天、3 天、1 周、2 周、1 个月进行电话随访,了解患者的恢复及康复情况。

结果

共纳入 427 例患者(男 224 例,女 203 例,平均年龄 23.07±11 岁)。其中 43.55%的患者选择日间手术,62.9%的患者选择日间手术的原因为方便,43.55%的患者选择日间手术的原因为减轻疼痛。行日间手术治疗的前三位疾病分别为阻生牙(56.7%)、颌骨囊肿(14.75%)和多生牙(10.07%)。427 例患者中术后出现并发症者 248 例,发生率为 58.08%。最常见的并发症为术后疼痛(56.44%)。术后第 3 天并发症发生率最高,术后 2 周后并发症均消失。

结论

口腔颌面部疾病确诊后,日间手术是一种有效的治疗方式。口腔卫生、专业的术后随访和严格的麻醉评估对于口腔颌面部疾病的日间手术非常重要。

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