高速涡轮钻法拔除下颌阻生智齿术后效果meta分析

目的:评价高速涡轮钻拔除下颌阻生智齿术后效果.方法:计算机检索1979-2012年CNKI、万方、维普、CBM中文数据库高速涡轮钻法拔除下颌阻生智齿的随机对照试验.采用cochrane协作网推荐的方法进行质量评价,对手术时间、术后疼痛、术后肿胀、张口受限、干槽症及颞颌关节疼痛等并发症进行系统分析,运用Revman 5.0 Tutorial软件分析,计算比值比(OR)或均值差(MD)和95％可信区间(CI).结果:本研究共纳入高速涡轮钻法1313例和传统法1314例,涡轮钻法手术时间MD值为-15.24 min(95％CI =-21.12-9.35);涡轮钻法Ⅰ、Ⅱ、Ⅲ度疼痛OR值分别为2.31、0.45、0.36(95％ CI=1.37-3.92,95％CI =0.37-0.55,95％CI=0.36-0.61);涡轮钻法Ⅰ、Ⅱ、Ⅲ度肿胀OR值分别为1.36、1.11、0.33(95％CI =0.53-3.51,95％CI =0.47-2.61,95％CI =0.23-0.48);涡轮钻法Ⅰ、Ⅱ、Ⅲ度张口受限OR值分别为2.11、0.38、0.17(95％CI =1.08-4.10,95％CI =0.30-0.48,95％CI =0.11-0.26);涡轮钻法干槽症OR值为0.29(95％CI =0.21-0.41);涡轮钻法术后颞下颌关节疼痛发生率低或无.结论:高速涡轮钻拔牙法能缩短拔牙时间,降低术后疼痛、肿胀、张口受限、干槽症和颞下颌关节疼痛发生率.

The Effects in Extraction of Impacted Mandibular Third Molars with High-speed Turbine Drill a Meta-analysis

Objective: To evaluate of the effects in extraction of impacted mandibular third molars with High-speed turbine drill.Methods: The CNKI(1979-2012),CIP,wanfang and CBM library database were searched and supplemented by review of conference proceedings and publication bibliographies.All original single institution studies reporting outcomes in extraction of impacted mandibular third molars with High-speed turbine drill(HSTD)were considered.Odds ratios(OR) and 95% confidence intervals(CI) based on random effects models were calculated.Results: Fifteen publications,all RCT studies,involving 1313 HSTD and 1314 traditional approach,were included.The MD of Operation time of HSTD was-15.24 minutes(95% CI =-21.12-9.35);The OR of first,second,third degree pain was 2.31,0.45,0.36 respectively(95%CI =1.37-3.92,95%CI =0.37-0.55,95%CI =0.36-0.61);The OR of first,second,third degree swelling was 1.36,1.11,0.33 respectively(95%CI =0.53-3.51,95%CI =0.47-2.61,95%CI =0.23-0.48);The OR of first,second,third degree of restriction mouth opening was 2.11,0.38,0.17 respectively(95%CI =1.08-4.10,95%CI =0.30-0.48,95%CI =0.11-0.26);The OR of xerosis was 0.29(95%CI =0.21-0.41);Meshing joint pain of HSTD was lower or non.