[拔牙与抗凝剂]
[Tooth extraction and anticoagulants].
作者信息
Persac S, Boland F-X, Lavis J-F, Tardif A
机构信息
Service de chirurgie maxillofaciale, stomatologie (Pr-Péron), CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
出版信息
Rev Stomatol Chir Maxillofac. 2007 Jun;108(3):189-92. doi: 10.1016/j.stomax.2006.10.007. Epub 2007 Apr 18.
INTRODUCTION
The purpose of this study was to show the possibility of extracting teeth without modifying the anticoagulant treatment (anti-platelet and anti-vitamin K agents).
MATERIAL AND METHOD
Two hundred patients underwent dental extraction from May 2003 to July 2006 without modifying their anticoagulant treatment; only 137 of them were hospitalized. Most of the teeth were extracted under local anesthesia, and hemostatic pad were inserted in the sockets without suture.
RESULTS
One thousand (and) sixteen extractions were performed with bleeding disorders in 4%, successfully resolved by using local hemostatics.
DISCUSSION
Modifying an anticoagulant treatment is a thrombo-embolic complication risk factor. Performing tooth extraction according to our protocol decreases this risk and bleeding complications, thus proving the validity of our technique.
引言
本研究的目的是展示在不改变抗凝治疗（抗血小板和抗维生素K药物）的情况下拔牙的可能性。
材料与方法
2003年5月至2006年7月，200例患者在不改变抗凝治疗的情况下接受了拔牙；其中只有137例住院。大多数牙齿在局部麻醉下拔除，拔牙窝内插入止血垫，未进行缝合。
结果
1016例拔牙患者中有4%出现出血障碍，通过使用局部止血剂成功解决。
讨论
改变抗凝治疗是血栓栓塞并发症的危险因素。按照我们的方案进行拔牙可降低这种风险和出血并发症，从而证明了我们技术的有效性。
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