目的 探讨改良微创拔牙技术在阻生智齿拔除术中的临床应用及术后肿胀控制效果。方法 选择2024年4月—2026年1月收治的100例阻生智齿患者进行前瞻性研究,按随机数字表法分为两组,每组50例。对照组实施常规微创拔牙术,观察组实施改良微创拔牙术,比较两组术后并发症发生率、术后肿胀程度与术后疼痛程度。结果 观察组术后并发症发生率为2％,低于对照组的14％（P<0.05）。术后2、72 h,观察组肿胀程度、疼痛程度均低于对照组（P<0.05）。结论 改良微创拔牙术可有效治疗阻生智齿,可减少术后并发症,减轻术后肿胀及疼痛症状,值得临床推广。

Objective To investigate the clinical application value of modified minimally invasive tooth extraction technique in impacted wisdom tooth extraction and the effect on postoperative swelling control. Methods A prospective study was conducted on 100 patients with impacted wisdom teeth admitted from April 2024 to January 2026. The patients were divided into two groups using the random number table method, with 50 cases in each group. The control group underwent conventional minimally invasive tooth extraction, while the observation group underwent modified minimally invasive tooth extraction. The postoperative complications, degree of postoperative swelling, and degree of postoperative pain were compared between the two groups. Results The incidence of postoperative complications in the observation group was 2.00%, which was lower than that in the control group （14.00%） （P<0.05）. At 2 h and 72 h after surgery, the degrees of swelling and pain in the observation group were lower than those in the control group （P<0.05）. Conclusion Modified minimally invasive tooth extraction can effectively treat impacted wisdom teeth, reduce postoperative complications, alleviate postoperative swelling and pain symptoms, and is worthy of clinical promotion.