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在肝硬化患者中,拔牙后自发细菌性腹膜炎和软组织愈合
Gustavo Souza Galvão1, Juliana Bertoldi Franco2, Maria Paula Siqueira de Melo Peres3
1Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil; Special Care Dentistry Centre, School of Dentistry, University of São Paulo, Sao Paulo, Brazil.
Oral surgery, oral medicine, oral pathology and oral radiology
|October 2, 2024
概括
肝硬化患者的拔牙没有显示与自发细菌性周周炎 (SBP) 的联系. 然而,提取口中软组织愈合的延迟与黄和中度中性衰竭有关.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 在口腔外科手术.
- 传染性疾病 传染性疾病
背景情况:
- 肝硬化患者通常需要牙科手术,这可能会带来潜在的风险.
- 自发性细菌性腹膜炎 (SBP) 是肝硬化的一种严重并发症.
- 在这个人群中评估牙科手术的风险至关重要.
研究的目的:
- 在肝硬化患者中调查拔牙和SBP之间的关联.
- 评估这个队列中提取后延迟软组织愈合的速度和预测因素.
主要方法:
- 研究了119名经历牙拔牙的肝硬化患者.
- 手术前进行了全景放射和实验室检查.
- 在提取后监测软组织愈合和SBP发生情况.
主要成果:
- 抽取了195颗牙;评估了146个膜口.
- 提取后发生了一个SBP病例和一个细菌.
- 软组织愈合的延迟 (13.7%) 与黄和中度中性衰竭有关.
结论:
- 拔牙似乎不会增加肝硬化患者的SBP风险.
- 黄和中度中性衰竭是延迟口愈合的重要危险因素.
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