226例唇部疾病的前瞻性分析  

Prospective analysis on 226 cases with cheilitis

作　　者：唐国瑶[1] 尚书[1] 李慧源[1] 姚辉[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院,口腔医学院口腔内科,上海市口腔医学研究所,上海市口腔医学研究所上海200011

出　　处：《临床口腔医学杂志》2005年第12期749-752,共4页Journal of Clinical Stomatology

摘　　要：目的:掌握唇部疾病基本损害的特点,不断提高唇部疾病鉴别诊断水平.方法:1995.8.～2004.9.口腔黏膜病专科唇部疾病初诊患者226例,均详细记录临床诊断、损害发生部位和损害类型.结果:发病部位按照损害累及频率,依次为下唇唇红134例次(34.9%)、下唇黏膜95例次(24.7%)、上唇唇红64例次(16.7%)、上唇黏膜56例次(14.6%)、口角20例次(5.2%)、口周9例次(2.3%)、唇部6例次(1.6%).226例共出现16种损害类型,按照损害出现频率排序,溃疡92例(31.7%)、糜烂31例(10.7%)、白纹25例(8.6%)、痂皮24例(8.3%)、皲裂23例(7.9%)、肿胀22例(7.6%)、鳞屑22例(7.6%)、充血18例(6.2%)、白斑9例(3.1%)、肿块8例(2.8%)、色素沉着6例(2.1%)、色素脱失、疱、红斑各3例(1.0%)、萎缩和丘疹各1例(0.3%).结论:唇红是唇部损害的好发部位,下唇唇红是首发部位,溃疡、糜烂、鳞屑、皲裂、白纹、痂皮、肿胀等7种损害是唇部黏膜病常见损害.Objective.To grasp the characteristics of cheilitis, and raise ceaselessly the level of one＇s differential diagnostic ability. Method.Clinic diagnose, affected position and type of labial lesions were recorded when the patients first visited to a doctor from Aug., 1995 to Sep., 2004 at Ninth. People＇ s Hospital, affiliated to School of Medicine, Shanghai Jiaotong University. Result： Two hundred and twenty - six cases were included. The affected times of position of this group of labial lesions were as follows, lower red labial 134 （34.9%）, lower labial mucosa 95 （24.7%）, upper red labial 64 （ 16.7 % ）, upper labial mucosa 56 （ 14.6 % ）, angular 20 （5.2 % ）, the skin surrounding oral cavity 9 （2.3 % ）, labial 6 （1.6%）. There are 16 types of labial lesions in the present cases, which arranged in terms of frequency of lesion as follows, ulcer 92 （31.7%）, erosion 31 （10.7%）, white stria 25 （8.6%）, crust 24 （8.3%）, rhagades 23 （7.9%）, swell 22 （7.6%）, squama 22 （7.6%）, congestion 18 （6.2%）, white patch ＇9 （3.1%）, turnout 8 （2.8%）, pigmentation sedate 6 （2.1% ）, pigmentation decolour, bula, red patch 3 （1.0 % ）, respectively, atrophy and papule 1 （0.3 % ）, respectively. Conclusion： Red labial is the most affected position, and lower ：red labial is the first to be affected. Ulcer, erosion, squama, rhagades, white stria, crust, and swell are the common lesions of eheilitis.

关 键 词：唇部疾病 基本损害 前瞻性分析 

分 类 号：R781.5[医药卫生—口腔医学]