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目的分析下颌阻生齿拔除后神经损伤的影响因素与治疗方法。方法选择40例由于下颌阻生齿拔除后神经受到损伤的患者作为研究对象,分析患者下颌阻生齿拔除后神经受损的情况、应用的治疗方法 ,分析影响神经损伤的因素。结果 40例患者神经损伤的主要原因为牙位前倾或者水平5例,凿骨法拔牙5例,拔牙耗时>30 min 20例,拔牙时出现大的创伤10例。结论术中要尽可能减少会导致神经损伤的操作,减少神经损伤发生的几率,给予对症治疗,减少患者痛苦,使患者生活质量得到明显改善。
Objective To analyze the influencing factors and treatment of nerve injury after mandibular impacted tooth extraction. Methods Forty patients with injured nerve after extraction of mandibular impacted tooth were selected as the object of study. The neurological damage after mandibular impacted tooth extraction was analyzed. The treatment methods and the factors affecting nerve injury were analyzed. Results The main causes of nerve injury in 40 patients were 5 cases of anterior inclination or level of the tooth, 5 cases of extractions by chisel method, 20 cases of extraction time> 30 minutes and 10 cases of large trauma. Conclusions During operation, we should reduce the operation that will lead to nerve injury as much as possible, reduce the chance of nerve damage, give symptomatic treatment, reduce the suffering of patients and improve the quality of life of patients significantly.