100例牙龈瘤的组织病理学诊断和相关临床数据分析  

A study of 100 Epulis cases with special emphasis on histopathological diagnosis and associated clinical data

作　　者：吴源[1] 高鹏[1] 赵璐[1] 

机构地区：[1]青海红十字医院口腔科,青海西宁810000

出　　处：《临床口腔医学杂志》2016年第5期303-304,共2页Journal of Clinical Stomatology

摘　　要：目的：通过对牙龈瘤的临床和组织病理学评估,获取牙龈瘤分布和生物学行为相关准确数据。方法：2011-2015年青海省红十字会医院口腔科诊断为牙龈瘤的100名患者,均接受激光切除手术,对临床资料和组织病理学特征进行回顾性分析。结果：组织病理学检查表明外周性骨化性纤维瘤（35%）、纤维瘤（27%）和化脓性肉芽肿（19%）为最常见的病理类型。牙龈瘤常见于前牙区。患者均表现为较差的口腔卫生、局部牙龈炎,部分表现为咬合创伤。结论：组织病理学检查可以明确病理分型及其生物学行为。较差的口腔卫生和咬合创伤可能在牙龈瘤病理发生过程中起到重要作用,同时也是复发的危险因素。Objective：Clinical and histopathological evaluation of a series of epulis to provide clinicians data to frequency distribution and biological behavior of different underlying entities. Method：100 cases of epulides removed by laser at the Department of Stomatology,Qinghai Red Cross Hospital from 2011 to 2015 were studied retrospectively for clinical data and histopathological diagnosis. Result：In the presented study, histopathological examination revealed peripheral ossifying fibroma（35 %）,fibroma（27 %）and granuloma pyogenicum（19 %） as the most frequent underlying entities. The majority of the lesions were found in the frontal region of both jaws. In all cases,the patients showed poor oral hygiene,local gingivitis and some of them an occlusal trauma. Conclusion：To identify different entities with different biological behaviour,histopathological examination is required. Poor oral hygiene and occlusal trauma seem to play an important role in the pathogenesis and could be risk factors for recurrences.

关 键 词：牙龈瘤 激光 组织病理学 临床数据 

分 类 号：R780.2[医药卫生—口腔医学]