Comparison of the Effect of Semiconductor Laser and High-Frequency Electro tome in Patients with Gingival Tumor
Objective To retrospectively compare the effect of semiconductor laser and high-frequency electrotome in the treatment of patients with gingival tumor.Methods Clinical data of 60 patients with gingival tumor in the First Affiliated Hospital of Xinxiang Medical College from May 2021 to October 2023 were collected and divided into two groups according to the surgical methods.The laser group(30 cases)received semiconductor laser treatment,and the electrosurgical group(30 cases)received high-frequency electrosurgical treatment.The clinical treatment effect,surgical indicators(operation time,intraoperative blood loss),pain degree at different time points(preoperative,postoperative 12,24 and 48 hours),visual analogue scale(VAS)were compared between the two groups two weeks after surgery.The levels of gingival creval fluid inflammatory factors[hypersensitive C-reactive protein(hs-CRP),interleukin-1 β(IL-1β),tumor necrosis factor-α(TNF-α)]and complications were compared between the two groups before and one week after surgery.Results There were no statistical differences between the two groups in the effective rate and the total complication rate two weeks after operation(P＞0.05).The operation time of the laser group was longer than that of the electrosurgical group,and the intraoperative blood loss was less than that of the electrosurgical group(P＜0.05).The time,inter group and interaction effects of VAS scores between the two groups were statistically significant(P＜0.05),and showed a decreasing trend over time,and the laser group was lower than the electrosurgical group(P＜0.05).One week after operation,the levels of hs-CRP,IL-1 β and TNF-α in gingival crevicular fluid were decreased in both groups,and the levels of the laser group were lower than those of the electrosurgical group(P＜0.05).Conclusion Semiconductor laser surgery has the same effect as high-frequency electrosurgical surgery in the treatment of gingival tumor,but compared with high-frequency electrosurgical surgery,semiconductor laser surgery has a slightly longer operation time,less intraoperative blood loss,less pain,and can reduce the expression level of gingival inflammatory factors.
semiconductor laserhigh-frequency electrotomegingival tumordegree of paininflammatory factor
万方数据
维普
