激光辅助与传统切除在口腔软组织病变管理中的比较：一项前瞻性临床研究。
Comparing Laser-Assisted and Conventional Excision in the Management of Oral Soft Lesions: A Prospective Clinical Study.
作者信息
Mangalekar Sachin B, Bagde Hiroj S, Sale Madhuri, Jambhekar Samidha V, Patil Chetan, Deshmukh Chetan V
机构信息
Professor, Department of Periodontology, CDCRI, Rajnandgaon, Chhattisgarh, India.
Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Wanlesswadi, Sangli, Maharashtra, India.
出版信息
J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S859-S861. doi: 10.4103/jpbs.jpbs_1061_23. Epub 2024 Feb 29.
INTRODUCTION
Oral soft lesions represent a diverse array of pathological conditions that necessitate precise and effective treatment. Laser-assisted excision has gained prominence due to its purported benefits in terms of reduced procedural time, decreased bleeding, and improved aesthetic outcomes. However, conventional excision remains a common practice.
MATERIALS AND METHODS
A total of 100 patients with clinically diagnosed oral soft lesions were enrolled in this prospective study. The patients were randomly divided into two groups: the laser-assisted excision group and the conventional excision group. Demographics, lesion characteristics, and medical histories were recorded for each patient. Procedural parameters such as operative time and intraoperative bleeding were meticulously documented.
RESULTS
The laser-assisted excision group exhibited a statistically significant reduction in procedural duration compared to the conventional excision group ( < 0.05), with mean operative times of 15.2 and 20.8 min, respectively. Intraoperative bleeding was significantly reduced in the laser-assisted group ( < 0.01), with an average blood loss of 15.7 ml, while the conventional excision group reported an average blood loss of 28.6 ml. Postoperative complications analysis demonstrated that the laser-assisted group had a lower incidence of wound infections ( < 0.05) compared to the conventional excision group (5% vs. 15%). Additionally, the laser-assisted group exhibited significantly reduced scarring ( < 0.01) as reported by both patients and clinicians. Patient satisfaction scores were consistently higher in the laser-assisted excision group, with 85% of patients reporting contentment with the procedure, in contrast to 65% in the conventional excision group.
CONCLUSION
In light of the results obtained from this study, laser-assisted excision emerges as a favorable approach for the management of oral soft lesions.
引言
口腔软组织病变代表了一系列需要精确有效治疗的病理状况。激光辅助切除因其在缩短手术时间、减少出血以及改善美学效果方面的据称益处而受到关注。然而，传统切除仍是常见的做法。
材料与方法
本前瞻性研究共纳入100例临床诊断为口腔软组织病变的患者。患者被随机分为两组：激光辅助切除组和传统切除组。记录每位患者的人口统计学信息、病变特征和病史。仔细记录手术时间和术中出血等手术参数。
结果
与传统切除组相比，激光辅助切除组的手术持续时间在统计学上有显著缩短（<0.05），平均手术时间分别为15.2分钟和20.8分钟。激光辅助组术中出血显著减少（<0.01），平均失血量为15.7毫升，而传统切除组报告的平均失血量为28.6毫升。术后并发症分析表明，激光辅助组的伤口感染发生率低于传统切除组（<0.05）（5%对15%）。此外，患者和临床医生均报告激光辅助组的瘢痕形成明显减少（<0.01）。激光辅助切除组的患者满意度评分一直较高，85%的患者对手术表示满意，而传统切除组为65%。
结论
根据本研究获得的结果，激光辅助切除成为治疗口腔软组织病变的一种有利方法。
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