论文部分内容阅读
目的:总结口腔黏膜下纤维性变(OSF)并存口腔扁平苔藓(OLP)的临床特征,提高对该病的诊断和治疗水平。方法:对34例OSF并存OLP患者的临床资料进行回顾性分析。结果:34例OSF并存OLP患者表现为青壮年男性居多,均有进食刺激性食物和咀嚼槟榔史,29例(85.29%)有吸烟史,27例(79.41%)有饮酒史,28例(82.35%)OSF的病理分期为早期,6例(17.65%)为中期,发病部位以颊部和舌部为主,所有患者均无糜烂和张口受限,治疗后疼痛症状缓解,但白色条纹或斑点始终未消退,已消失的丝状乳头、菌状乳头亦未见恢复。结论:OSF并存OLP并非两种疾病的简单叠加,而是具有其特异性的表现,必要时可行两个典型部位活检进行诊断,治疗中及治疗后须戒烟、戒槟榔。
OBJECTIVE: To summarize the clinical characteristics of oral submucous fibrosis (OSF) associated with oral lichen planus (OLP) and to improve the diagnosis and treatment of the disease. Methods: The clinical data of 34 OSF patients with OLP were analyzed retrospectively. Results: 34 patients with OSF coexisted with OLP were mostly young and middle-aged men. All of them had consumption of irritating food and chewing betel nut, 29 cases (85.29%) had smoking history, 27 cases (79.41%) had drinking history, 28 cases %) The pathological staging of OSF was early stage, 6 cases (17.65%) were medium stage, and the main part of the disease was cheek and tongue. All patients had no erosion and limited mouth opening. The pain symptom was relieved after treatment. However, white streaks or spots Has not subsided, has disappeared filiform nipples, fungal nipples have not been restored. Conclusions: OSF co-existence OLP is not a simple superposition of two diseases, but rather has its specific performance. If necessary, two typical biopsy specimens may be used for diagnosis. During treatment and after treatment, it is necessary to quit smoking and betel nut.