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胃绕道和袖子胃切除术后的牙科结果:基于登记的研究
Freja Freedman1, Richard Marsk2, Jane Yan3
1Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
概括
腹腔外科手术会影响口腔健康. 与袖子胃切除术 (SG) 患者相比,Roux-en-Y胃切除术 (RYGB) 患者经历了更多的牙科干预,如填充和提取.
科学领域:
- 腹腔外科手术的结果
- 口腔健康研究 口腔健康研究
- 外科手术干预分析分析
背景情况:
- 腹腔外科手术与负面的口腔健康后果有关.
- 观察到术后牙相关的牙科干预增加.
研究的目的:
- 为了比较Roux-en-Y胃绕道 (RYGB) 和袖子胃切除术 (SG) 后的牙科干预率.
主要方法:
- 在瑞典 (2011-2015年) 进行了全国范围的,基于注册的,两阶段匹配的队列研究.
- 包括使用倾向分数匹配的3317名RYGB和3317名SG患者.
- 随访时间为3年;牙科健康登记处的牙科数据 (提取物,填充物,根管).
主要成果:
- 无论是RYGB和SG组,都显示了手术后牙事件发生率的增加.
- 与SG患者相比,RYGB患者的所有干预,修复和内牙手术的比率显著更高.
结论:
- 鲁克斯-en-Y胃绕道与牙科结果 (填充,提取) 的负面影响比袖子胃切除术更大.
- 底层机制需要进一步研究.
- 需要进一步的研究来证实这些发现,并了解手术方法的意义.
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