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二极管激光在口腔内软组织手术中的有效性——一项评估研究。

Effectiveness of Diode Laser in Intraoral Soft Tissue Surgeries - An Evaluative Study.

作者信息

Movaniya Pratap N, Desai Nimisha N, Makwana Tushar R, Matariya Riddhi G, Makwana Kalpesh G, Patel Hirakben B, Patel Yama N

机构信息

Department of Oral and Maxillofacial Surgery, Siddhpur Dental College and Hospital, Siddhpur, Patan, Gujarat, India.

Department of Oral and Maxillofacial Surgery, Vaidik Dental College and Research Centre, Daman and Diu, India.

出版信息

Ann Maxillofac Surg. 2023 Jul-Dec;13(2):167-172. doi: 10.4103/ams.ams_140_23. Epub 2024 Jan 15.

Abstract

INTRODUCTION

The clinical application of the diode laser seems to have beneficial effects in surgery. The laser provides precise and rapid tissue dissection, excellent haemostasis and lessens post-operative inflammation. This study was done to assess the clinical effectiveness of diode laser in the management of different varieties of intraoral soft-tissue lesions.

MATERIALS AND METHODS

After applying exclusion criteria, a total of 50 samples were selected with benign intraoral soft-tissue lesions treated with a diode laser under local anaesthesia between September 2017 and September 2020. Each patient was followed up on the 3, 7 and 15 post-operative days for healing, pain, infection and swelling.

RESULTS

From all patients, a total of 50 were evaluated in the study; out of all, 60% of patients had no pain on the 2 follow-up. As per the Landry Index of Healing, 54% of patients had excellent healing. None of the cases had post-operative bleeding, infection was present in 4% at the 1-2 follow-up, and in 2% of cases, post-operative swelling was present. The efficacy of diode lasers was tested using the Chi-square test and < 0.01, which was statistically significant.

DISCUSSION

Diode laser seems to be superior over conventional treatment modalities as it provides a bloodless dry field and increases patient comfort during surgery. It also lessens the post-operative pain and swelling. Diode laser can safely and effectively be used as a treatment modality for benign soft-tissue lesions, without any complication and without compromising the health and function of patients.

摘要

引言

二极管激光在外科手术中的临床应用似乎具有有益效果。该激光能实现精确、快速的组织切割,具备出色的止血功能,并能减轻术后炎症。本研究旨在评估二极管激光在治疗不同类型口腔内软组织病变中的临床效果。

材料与方法

在应用排除标准后,选取了2017年9月至2020年9月期间在局部麻醉下接受二极管激光治疗的50例口腔内良性软组织病变样本。对每位患者在术后第3天、第7天和第15天进行随访,观察愈合情况、疼痛、感染和肿胀情况。

结果

本研究共评估了50例患者;其中,60%的患者在两次随访时均无疼痛。根据兰德里愈合指数,54%的患者愈合情况良好。所有病例均未出现术后出血,在第1 - 2次随访时,4%的病例存在感染,2%的病例出现术后肿胀。使用卡方检验对二极管激光的疗效进行测试,P < 0.01,具有统计学意义。

讨论

二极管激光似乎优于传统治疗方式,因为它能提供无血的干燥术野,提高手术过程中患者的舒适度。它还能减轻术后疼痛和肿胀。二极管激光可安全有效地用作良性软组织病变的治疗方式,不会引发任何并发症,也不会损害患者的健康和功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf7f/10883202/08e5fac72f78/AMS-13-167-g001.jpg

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