Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.
Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.
J Endod. 2019 Feb;45(2):89-93. doi: 10.1016/j.joen.2018.11.004.
The aim of this study was to evaluate the efficacy of 2 hemostatic agents in periapical surgery and its relationship with patient- and tooth-dependent variables.
A prospective study was designed with 2 randomized parallel groups established according to the hemostatic agent used: aluminum chloride or electrocauterization. The surgeon and 2 independent blinded observers examined the initial and final bleeding and recorded it as 0 (no hemorrhage control), 1 (slight but apparent intermittent bleeding), or 2 (complete hemorrhage control). The following patient- and tooth-dependent variables were collected: sex, age, smoking habit, plaque index, and position.
Sixty patients with a periapical lesion in the esthetic zone were enrolled in this study and divided into 2 groups of 30 patients. In the aluminum chloride group, complete hemorrhage control was achieved in 24 patients, and in the electrocauterization group, it was achieved in 18 patients (P < .05). A relationship between sex and the effectiveness of hemostasis was found; a female patient increases the possibility of achieving complete hemorrhage control.
Hemorrhage control was better in the aluminum chloride group than in the electrocauterization group as well as in female patients compared with male patients.
本研究旨在评估两种止血剂在根尖手术中的疗效及其与患者和牙齿相关变量的关系。
设计了一项前瞻性研究，根据使用的止血剂将患者分为两组：氯化铝组或电凝组。手术医生和两名独立的盲法观察者检查初始和最终出血情况，并记录为 0（无出血控制）、1（轻微但明显间歇性出血）或 2（完全出血控制）。收集了以下与患者和牙齿相关的变量：性别、年龄、吸烟习惯、菌斑指数和位置。
本研究共纳入 60 例美学区根尖病变患者，分为两组，每组 30 例。在氯化铝组中，24 例患者达到完全出血控制，在电凝组中，18 例患者达到完全出血控制（P<.05）。发现性别与止血效果之间存在关系，女性患者更有可能达到完全出血控制。
与电凝组相比，氯化铝组的出血控制更好，与男性患者相比，女性患者的出血控制更好。
