【摘要】 目的 探讨超声骨刀微创法拔除埋伏阻生牙的临床效果。方法 选取2020年1月—2024年12月期间口腔科收治的择期拔除上下颌骨埋伏阻生牙患者90例，根据治疗方式的不同分为对照组（采用传统拔牙法）和研究组（采用超声骨刀微创法），每组各45例。比较两组手术指标、术后疼痛评分、术后张口度、术后并发症发生情况。结果 研究组术中出血量少于对照组（P<0.05）。术后，研究组疼痛评分明显低于对照组（P<0.05）；张口度高于对照组（P<0.05）；并发症发生率明显低于对照组（P<0.05）。结论 相较于传统拔牙法，超声骨刀微创法可减轻对患者造成的创伤，减少术中出血量，同时可减轻患者术后疼痛和减少并发症发生，改善术后张口受限情况，安全有效，具有临床应用价值。更多还原

【Abstract】 Objective To investigate the clinical effect of minimally invasive extraction of impacted teeth with ultrasonic osteotome. Methods A total of 90 patients with impacted teeth in the maxilla and mandible who were treated in the Department of Stomatology of our hospital from January 2020 to December 2024 were selected as research participants. According to different treatment methods, the patients were divided into a control group with traditional tooth extraction method and a study group with ultrasonic osteotome minimally invasive method, with 45 cases in each group. The operation indexes, postoperative pain scores, postoperative mouth opening, and postoperative complications were compared between the two groups. Results The intraoperative blood loss in the study group was less than that in the control group(P<0.05). The postoperative pain score of the study group was significantly lower than that of the control group(P<0.05); the postoperative mouth opening degree of the study group was higher than that of the control group(P<0.05); the incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.05). Conclusion Compared with the traditional tooth extraction method, the ultrasonic osteotome minimally invasive method can reduce trauma to patients, intraoperative blood loss, postoperative pain, and complications, and also improve postoperative mouth opening restriction. The method is safe and effective, and has clinical value.更多还原