Jonas Ehud, Gillman Leon, Masri Daya, Rosenfeld Eli, Chaushu Gavriel, Avishai Gal
Department of Oral and Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, The Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Petah Tiqwa, Israel.
Clin Oral Investig. 2025 Feb 6;29(2):119. doi: 10.1007/s00784-025-06179-7.
To investigate systemic risk factors contributing to the formation of sialolithiasis.
A retrospective big-data cohort study was conducted using data from Clalit HMO in Israel. Sialolithiasis patients were identified based on ICD-10 codes and matched with controls. Univariate and multivariable logistic regression analyses were performed to assess the relationship between systemic conditions and sialolithiasis. P-value < 0.05 was considered significant.
5100 sialolithiasis cases were collected. The statistical analysis revealed that hypertension (OR = 1.14, 1.08-1.24, p < 0.001), dyslipidemia (OR = 1.33, 1.27-1.41, p < 0.001), nephrolithiasis (OR = 1.55, 1.42-1.63, p < 0.001) and cholelithiasis (OR = 1.22, 1.16-1.27, p < 0.001) were significantly correlated with sialolithiasis.
Systemic diseases, particularly dyslipidemia, play a role in the development of sialolithiasis. Further research is needed to explore the underlying mechanisms linking these conditions and to develop targeted strategies for the prevention of sialolithiasis.
This study highlights the potential interplay between systemic conditions and sialolithiasis. Recognizing these associations can inform clinical practice in understanding the pathogenesis of the disease, risk assessment, early diagnosis, and preventive measures.
研究导致涎石病形成的全身风险因素。
利用以色列克拉利特健康维护组织(Clalit HMO)的数据进行回顾性大数据队列研究。根据国际疾病分类第十版(ICD - 10)编码识别涎石病患者并与对照组进行匹配。进行单因素和多因素逻辑回归分析以评估全身状况与涎石病之间的关系。P值<0.05被认为具有统计学意义。
收集了5100例涎石病病例。统计分析显示,高血压(OR = 1.14,1.08 - 1.24,p < 0.001)、血脂异常(OR = 1.33,1.27 - 1.41,p < 0.001)、肾结石(OR = 1.55,1.42 - 1.63,p < 0.001)和胆结石(OR = 1.22,1.16 - 1.27,p < 0.001)与涎石病显著相关。
全身性疾病,尤其是血脂异常,在涎石病的发生发展中起作用。需要进一步研究以探索这些情况之间的潜在机制,并制定预防涎石病的针对性策略。
本研究强调了全身状况与涎石病之间的潜在相互作用。认识到这些关联可为临床实践中理解疾病的发病机制、风险评估、早期诊断和预防措施提供参考。