手术前专业牙清洁作为OSCC患者手术后肺炎的预防措施:一项回顾性研究
Chuqiao Xiao1, Yichun Yang2, Grace Paka Lubamba1,3
1State Key Laboratory of Oral Diseases, Department of Head and Neck Oncology, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Oral diseases
|January 8, 2026
概括
在口腔癌手术前进行专业的牙清洁显著降低了口腔平细胞癌 (OSCC) 患者手术后肺炎 (PP) 的风险. 这种简单的干预措施具有保护作用,特别适用于老年患者和具有特定危险因素的患者.
科学领域:
- 在口腔外科手术.
- 在瘤学瘤学.
- 预防传染病 预防传染病
背景情况:
- 口腔状细胞癌 (OSCC) 手术中的术后并发症是令人担忧的.
- 手术前专业牙清洁对这些并发症的影响尚未得到充分证实.
研究的目的:
- 调查手术前专业牙清洁与OSCC患者进行彻底切除的术后并发症之间的关联.
- 在这个患者群体中确定术后肺炎 (PP) 的风险因素.
主要方法:
- 415名OSCC患者的回顾性队列研究,这些患者接受了自由重建的激进切除.
- 倾向性得分匹配为分析创建了174对:牙清洁组与对照组.
- 评估的结果包括术后肺炎,手术部位感染,发烧,停留时间和重新手术.
主要成果:
- 手术前的牙清洁与手术后肺炎风险降低显著相关 (OR=0.30).
- 独立的PP风险因素包括瘤位置 (口腔地板),高血压和更长的手术时间.
- 牙清洁与其他并发症之间没有发现显著的关联;牙周炎的严重程度不是PP的风险因素.
结论:
- 手术前的专业牙清洁,在手术前一天进行,与OSCC患者手术后肺炎风险降低有关.
- 牙清洁的保护作用在特定的子组中尤为明显,包括老年患者,高血压患者,牙周炎患者或长期手术患者.
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