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[下颌智齿拔除术中使用与不使用橡胶引流条的比较性前瞻性随机研究结果]

[Results of a comparative prospective randomized study of surgical removal of mandibular wisdom teeth with and without rubber drainage].

作者信息

Ayad W, Jöhren P, Dieckmann J

机构信息

Klinik für Mund-, Kiefer- und Gesichtschirugie-Plastische Operationen-Knappschaftskrankenhaus Akademisches Lehrkrankenhaus, Universität Bochum, Recklinghausen.

出版信息

Fortschr Kiefer Gesichtschir. 1995;40:134-6.

PMID:7557767
Abstract

This investigation compared the results of 2 types of wound closure - primary closure technique with and without Penrose drains (Naturallatex) - after mandibular third Molar removal. In both the test group (n = 27) and control group (n = 25), the molar were removed using a buccal mucoperiosteal flap. The test group received a drain partially submerged into the socket to secure more drainage of woundsecrete. Examination were performed 1 day, 3 days and 7 days after surgery, and swelling, trismus, pain and analgetic consommation were recorded. Analysis of Variance indicated that there was significant difference between the 2 methods. The drain method appears to minimize postoperative edema, trismus, pain and analgetic consommation, and thus contributes to enhanced patient comfort.

摘要

本研究比较了下颌第三磨牙拔除术后两种伤口闭合方式的结果——使用和不使用(天然乳胶)彭罗斯引流管的一期闭合技术。在试验组(n = 27)和对照组(n = 25)中,均采用颊侧粘骨膜瓣拔除磨牙。试验组放置一根部分浸入牙槽窝的引流管,以确保伤口分泌物更多排出。术后1天、3天和7天进行检查,并记录肿胀、牙关紧闭、疼痛和镇痛药消耗情况。方差分析表明,两种方法之间存在显著差异。引流管方法似乎能将术后水肿、牙关紧闭、疼痛和镇痛药消耗降至最低,从而提高患者舒适度。

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