胶原蛋白线在口腔种植手术切口无张力缝合中的效果及对伤口愈合时间的影响
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摘要
目的探讨胶原蛋白线在口腔种植手术切口无张力缝合中的效果及对伤口愈合时间的影响.方法选取2016年1月至2017年1月在景洪忠华口腔诊所门诊进行牙齿种植修复术的患者100例,随机分为对照组和研究组,每组各50例,对照组患者采用丝线编织非吸收性缝线缝合伤口,研究组采用胶原蛋白线缝合伤口,比较2组患者伤口愈合等级、缝合线吸收情况、伤口愈合时间及平整率.结果研究组的甲级愈合率为96%,显著高于对照组的80%(P<0.05),且研究组的不良反应发生率为6%,低于对照组的20%(P<0.05);研究组治疗后不同时间的缝合线完全吸收率和切口平整率分别为84%、96%、100%和86%,均明显高于对照组的62%、78%、80%和68%(P<0.05)研究组的切口愈合时间以及术后3 d、5 d和7 d的疼痛视觉模拟(VAS)评分均明显低于对照组(P<0.05).结论胶原蛋白线在口腔种植手术切口无张力缝合的伤口愈合及术后恢复要明显优于丝线编织非吸收性缝线,胶原蛋白线可口内降解,有效提高了患者伤口愈合等级及伤口平整率,加速伤口愈合,具有推广应用价值.
Objective To investigate the effect of collagen line in the tension-free suture of the incision of oral implant and the effect on the healing time of the wound. Me thods 100 patients were selected from January2016 to January 2017 for repair of dental implant in Zhong Hua Dental clinic of Jinghong city, and they were randomly divided into control group and study group,with 50 cases in each group. The control group was treated with non absorbable sutures of silk suture wounds, while the study group using collagen suture wounds, then we compared two groups of patients with wound healing grade, suture line absorption, wound healing time and formation rate. Re s ults The research group of grade A healing rate was 96%, significantly higher than 80% in the control group(P < 0.05), and the adverse reactions of the study group was 6%, lower than 20% in the control group(P < 0.05);the complete absorption rate and smooth incision rates in the study group for suture in different times were 84%, 96% 100%, and 86%, which were significantly higher than the control group's 62%, 78%,80% and 68%(P < 0.05). The wound's healing time and postoperative VAS score of 3 d, 5 d and 7 d were significantly lower than the control group(P < 0.05). Conclus ion Collagen line in oral implant surgery incision tension-free suture of wound healing and postoperative recovery is significantly better than that of silk and non absorbable sutures, and collagen can be degradated orally,which effectively improves the wound healing of patients with grades and wound flat rate, and effectively accelerates wound healing, with the value of application.
Objective To investigate the effect of collagen line in the tension-free suture of the incision of oral implant and the effect on the healing time of the wound. Me thods 100 patients were selected from January2016 to January 2017 for repair of dental implant in Zhong Hua Dental clinic of Jinghong city, and they were randomly divided into control group and study group,with 50 cases in each group. The control group was treated with non absorbable sutures of silk suture wounds, while the study group using collagen suture wounds, then we compared two groups of patients with wound healing grade, suture line absorption, wound healing time and formation rate. Re s ults The research group of grade A healing rate was 96%, significantly higher than 80% in the control group(P < 0.05), and the adverse reactions of the study group was 6%, lower than 20% in the control group(P < 0.05);the complete absorption rate and smooth incision rates in the study group for suture in different times were 84%, 96% 100%, and 86%, which were significantly higher than the control group's 62%, 78%,80% and 68%(P < 0.05). The wound's healing time and postoperative VAS score of 3 d, 5 d and 7 d were significantly lower than the control group(P < 0.05). Conclus ion Collagen line in oral implant surgery incision tension-free suture of wound healing and postoperative recovery is significantly better than that of silk and non absorbable sutures, and collagen can be degradated orally,which effectively improves the wound healing of patients with grades and wound flat rate, and effectively accelerates wound healing, with the value of application.
引文
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[11]孙欢,吴杨,赵吉宏.口腔修复膜材料在牙种植中引导骨再生的效应研究[J].西部医学,2016,28(5):666-669.
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[13]昊媛媛.牙周整复术在口腔修复患者中的应用效果观察[J].海南医学,2015,26(21):3227-3228.
[14]赵异.磁性附着体在口腔修复中的临床应用效果评价[J].河北医学,2015,32(4):642-644.
[15]马杰.两种不同口腔修复膜材料对牙种植引导骨再生的作用及效果分析[J].中南医学科学杂志,2016,44(1):87-90.
[16]邱伟江,郑学汜,刘智飞,等.不同口腔修复膜材料对牙种植中骨再生影响情况研究[J].口腔医学,2015,35(11):955-957.
[17]赵凤林,秦昌富,陈杰,等.腹股沟疝无张力修补术后补片感染清创及伤口Ⅰ期缝合治疗[J].中华普通外科杂志,2017,32(4):332-335.
[18]梁向新,余晓波,黄媖.拔牙位点保存技术对口腔种植患者牙槽美学效果的影响[J].广东医学,2017,38(23):3628-3630.
[19]罗蓉,罗军,夏罗英.口腔种植修复在牙列缺失患者中的应用效果及对龈沟液中TNF-α、IL-6、IL-8的影响[J].上海口腔医学,2017,26(3):324-327.
[20]李雨轩.拔牙位点保存技术在口腔种植临床中的应用方法及效果[J].湖南中医药大学学报,2016,33(2):957-958.
[2]刘琳.口腔修复膜在口腔黏膜缺损中的应用[J].河北医药,2015,28(17):2592-2594.
[3]周毅波,颜永毅.两种可吸收缝合线在鼻内镜手术中的应用[J].中国耳鼻咽喉头颈外科,2016,23(12):714-715.
[4]林华维,刘强,潘虹海.可吸收内固定材料在颌面外科的应用[J].口腔医学,2015,35(11):986-989.
[5]GARCIA L A,TESCARI E,RYANWEBER E V,et al.Simulated metal and HI absorption lines at the conclusion of Reionization[J].Monthly Notices of the Royal Astronomical Society,2017,35(11)11:470.
[6]蒋升,陈大贵,李铁军,等.海洋鱼皮胶原蛋白复合物凝胶制剂对大鼠口腔溃疡的疗效研究[J].中华航海医学与高气压医学杂志,2017,24(1):21-24.
[7]陈珺,刘斌杰,杜翠,等.微小RNA-203对Ⅳ型胶原蛋白α4链基因的靶向调控及其在口腔黏膜下纤维化中的作用[J].中华口腔医学杂志,2016,51(9):526-531.
[8]陈胜武.可吸收胶原蛋白缝合线在骨科手术缝合中的应用效果观察[J].中国现代药物应用,2016,10(15):275-276.
[9]BYRNE B,GOLDBLATT C.Diminished greenhouse warming from Archean methane due to solar absorption lines[J].Climate of the Past,2015,10(5):559-570.
[10]郭天奇,周延民,赵静辉,等.富血小板血纤蛋白与其他生物材料联合用于牙周组织修复[J].国际口腔医学杂志,2015,42(2):231-236.
[11]孙欢,吴杨,赵吉宏.口腔修复膜材料在牙种植中引导骨再生的效应研究[J].西部医学,2016,28(5):666-669.
[12]WATERS T,PROGA D,DANNEN R,et al.Synthetic absorption lines for a clumpy medium:a spectral signature for cloud acceleration in AGN[J].Monthly Notices of the Royal Astronomical Society,2017,39(6):467.
[13]昊媛媛.牙周整复术在口腔修复患者中的应用效果观察[J].海南医学,2015,26(21):3227-3228.
[14]赵异.磁性附着体在口腔修复中的临床应用效果评价[J].河北医学,2015,32(4):642-644.
[15]马杰.两种不同口腔修复膜材料对牙种植引导骨再生的作用及效果分析[J].中南医学科学杂志,2016,44(1):87-90.
[16]邱伟江,郑学汜,刘智飞,等.不同口腔修复膜材料对牙种植中骨再生影响情况研究[J].口腔医学,2015,35(11):955-957.
[17]赵凤林,秦昌富,陈杰,等.腹股沟疝无张力修补术后补片感染清创及伤口Ⅰ期缝合治疗[J].中华普通外科杂志,2017,32(4):332-335.
[18]梁向新,余晓波,黄媖.拔牙位点保存技术对口腔种植患者牙槽美学效果的影响[J].广东医学,2017,38(23):3628-3630.
[19]罗蓉,罗军,夏罗英.口腔种植修复在牙列缺失患者中的应用效果及对龈沟液中TNF-α、IL-6、IL-8的影响[J].上海口腔医学,2017,26(3):324-327.
[20]李雨轩.拔牙位点保存技术在口腔种植临床中的应用方法及效果[J].湖南中医药大学学报,2016,33(2):957-958.