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首页> 外文期刊>British journal of oral & maxillofacial surgery >Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction
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Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction

机译：第三磨牙手术：对手术适应症，术后主诉和患者满意度的审核

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摘要

A prospective investigation was undertaken of 522 patients undergoing third molar surgery. Data relating to indications for surgery and quality of care were collected on both pre- and post-operative proformas. This investigation showed that over half of the patients did not have clinically sound indications for surgery. The incidence of post-operative complications was approximately the same as other studies on third molar surgery. Patient satisfaction was at a high level, although this study revealed that a percentage of symptom-free patients undergoing third molar surgery sustained nerve damage some of which remains unreported. Clear and well defined indications for third molar surgery do exist and should be adhered to. Operating on patients without good reason involves unnecessary expenditure to purchasing authorities, cost to the patient in both time off work and post-operative complications and further, may result in potentially avoidable legal problems for practitioners. A reappraisal of the impacted third molar is indicated prior to committing the patient to surgery, such that the indications for surgery are compatible with current views on quality assurance, health service economics and medico-legal common sense.
机译：对522名接受第三次磨牙手术的患者进行了前瞻性研究。在手术前和手术后均收集与手术指征和护理质量有关的数据。这项调查表明，超过一半的患者没有手术的临床指征。术后并发症的发生率与第三磨牙手术的其他研究大致相同。患者满意度很高，尽管这项研究表明，接受第三磨牙手术的无症状患者中有一定比例的患者遭受了神经损伤，其中一些尚未报告。确实存在着明确明确的第三磨牙手术适应症，应该遵守。在没有充分理由的情况下对患者进行手术会给采购部门带来不必要的支出，在下班时间和术后并发症中会给患者带来成本，并且进一步可能导致从业人员可能避免的法律问题。在对患者进行手术之前，需要重新评估受影响的第三磨牙，以使手术适应症与当前有关质量保证，卫生服务经济学和法医学常识的观点相吻合。

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