口腔医学研究

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (7): 562-567.DOI: 10.13701/j.cnki.kqyxyj.2025.07.004

• 口腔颌面外科学研究 • 上一篇    下一篇

口腔组织内医源性高密度影像异物56例临床分析

余邱楠1, 赵吉宏2*   

  1. 1.武汉大学口腔医(学)院 口颌系统重建与再生全国重点实验室 口腔生物医学教育部重点实验室, 口腔医学湖北省重点实验室 湖北 武汉 430079;
    2.武汉大学口腔医院口腔颌面外科 湖北 武汉 430079
  • 收稿日期:2025-03-27 出版日期:2025-07-28 发布日期:2025-07-24
  • 通讯作者: *赵吉宏,E-mail:jhzhao988@whu.edu.cn
  • 作者简介:余邱楠(1998~ ),女,安徽蚌埠人,硕士在读,医师,研究方向:口腔颌面外科学。

Analysis on 56 Cases of Iatrogenic High-density Foreign Bodies in Oral Tissues

YU Qiunan1, ZHAO Jihong2*   

  1. 1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. Department of Oral and Maxillofacial Surgery, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2025-03-27 Online:2025-07-28 Published:2025-07-24

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摘要： 目的: 探讨口腔组织内医源性高密度影像异物的发生原因、临床诊断及处理对策。方法: 收集2017~2024年收治的56例口腔组织内医源性高密度影像异物患者临床资料,其中男23例,女33例,年龄为6~74岁;上颌骨21例、下颌骨24例、口腔软组织11例;单一异物51例,2个及以上异物5例;56例均存在不同程度的焦虑情绪,41例伴有临床症状,所有病例均强烈要取出异物。结果: 56例患者口腔组织内的异物均成功取出;所有患者对异物的焦虑情绪消除;41例伴有临床症状的患者中39例症状消除,2例术前存在下唇麻木的患者症状明显缓解。结论: 取出口腔组织内的医源性异物,能消除患者的心理压力,消除或明显缓解患者的临床症状。

关键词: 口腔组织, 医源性异物, 症状, 取出术

Abstract: Objective: To investigate the etiology, diagnosis, and management strategies for iatrogenic high-density foreign bodies in oral tissues. Methods: Fifty-six cases of iatrogenic high-density foreign bodies in oral tissues treated by our team were enrolled between 2017 and 2024. The cohort consisted of 23 males and 33 females, with ages ranging from 6 to 74 years. The foreign bodies were located in the maxilla (21 cases), mandible (24 cases), and oral soft tissues (11 cases). Of the 56 cases, 51 involved a single foreign body, while 5 cases contained two or more. Forty-one of them exhibited clinical symptoms. All patients requested the removal of the foreign bodies. Results: All 56 foreign bodies were successfully removed. Among the 41 patients with clinical symptoms, 39 patients completely resolved the symptoms, and 2 patients with lower lip numbness had significant improvement. Conclusion: The removal of iatrogenic foreign bodies in oral tissues effectively alleviates psychological distress and significantly resolves or improves clinical symptoms in patients.

Key words: oral tissues, iatrogenic foreign bodies, symptoms, extraction