在内牙微手术后与术后疼痛和胀相关的因素:放射特征的作用
Abdulwahed Alghamdi1, Dana Mominkhan2, Reem Sabano1
1Department of Endodontics, University Dental Hospital, King Abdulaziz University, P.O. Box 80209, Jeddah 21589, Saudi Arabia.
Healthcare (Basel, Switzerland)
|May 14, 2025
概括
带有较大的牙周病变 (> 4mm) 的内牙微手术 (EMS) 患者可能会经历较少的胀. 损伤大小,骨穿孔和口水的使用没有显著影响EMS后的疼痛.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 在口腔外科手术.
背景情况:
- 内牙微手术 (EMS) 是一种常见的手术.
- 基于手术前病变特征预测EMS后疼痛和胀的研究有限.
- 圆束计算断层扫描 (CBCT) 提供了周周病变的详细成像.
研究的目的:
- 调查CBCT评估的周周病变特征与EMS后的疼痛和胀之间的关系.
- 为了确定EMS后手术后症状的潜在预测因素.
主要方法:
- 接受EMS的61名患者在手术后8,24,48和72小时使用VAS报告疼痛和胀.
- 分析了CBCT周周指数,病变特征和手术细节.
- 用费舍尔精确测试和多变量回归来确定显著因素 (p≤0.05).
主要成果:
- 疼痛峰值发生在8小时 (4.26±3.13) 后,峰值胀发生在24小时 (6.46±2.87) 后.
- 具有CBCT指数得分>3的患者的胀风险显著降低 (AOR = 0.243,p = 0.024).
- 没有发现疼痛与病变大小,皮层骨孔或口水使用之间有显著的相关性.
结论:
- 大于4毫米的周周病变与EMS后的胀减少有关.
- 在EMS之后的疼痛不会受到病变大小,皮质骨孔或口水使用的显著影响.
- 周周病变大小是管理EMS后胀的新型预测指标.
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