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颌面外科手术中的静脉血栓栓塞预防

Venous Thromboembolism Prophylaxis in Maxillofacial Surgery.

作者信息

Camelo Inês, Pereira Flávia, Cebotari Mariana, Sousa Manuel, Coelho Lígia

机构信息

Maxillofacial Surgery Department, Centro Hospitalar Universitário de São João, Porto, PRT.

出版信息

Cureus. 2024 Sep 24;16(9):e70077. doi: 10.7759/cureus.70077. eCollection 2024 Sep.

Abstract

The aim of this article is to conduct a literature review concerning the need for venous thromboembolism (VTE) prophylaxis among patients undergoing maxillofacial surgery. This article addresses the diagnosis of VTE, patient risk stratification, and prophylactic measures suitable for the various groups of interest in maxillofacial surgery. From a pool of 44 articles identified, nine were chosen as the most pertinent to the aims of this review. Despite limited data on this topic, individuals undergoing oral and maxillofacial surgery generally exhibit a low risk of VTE. This review emphasizes the importance of implementing prophylactic measures tailored to individual risk factors. Pharmacological prophylaxis merits consideration, particularly when the Caprini score is ≥7. However, further research is needed to optimize prophylactic strategies in maxillofacial surgery.

摘要

本文旨在对接受颌面外科手术患者的静脉血栓栓塞(VTE)预防需求进行文献综述。本文探讨了VTE的诊断、患者风险分层以及适用于颌面外科不同相关群体的预防措施。从筛选出的44篇文章中,选取了9篇与本综述目标最相关的文章。尽管关于该主题的数据有限,但接受口腔颌面外科手术的个体通常VTE风险较低。本综述强调了实施针对个体风险因素的预防措施的重要性。药物预防值得考虑,尤其是当Caprini评分≥7时。然而,需要进一步研究以优化颌面外科手术的预防策略。

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