口腔黏膜自伤性溃疡的临床研究  

Clinical study on oral factitial ulcers

作　　者：唐国瑶[1] 许国祺[1] 

机构地区：[1]第二医科大学附属第九人民医院,上海200011

出　　处：《临床口腔医学杂志》2002年第5期385-387,共3页Journal of Clinical Stomatology

摘　　要：目的 提高口腔黏膜自伤性溃疡的诊断和治疗水平。方法 追踪观察30例口腔自伤性溃疡的临床资料。结果 本病多见于男性儿童和少年,均有咬颊、咬舌、咬唇习惯。溃疡好发于颊脂垫尖和舌缘黏膜。损害数目1～4个,大小2～20mm。外形不规则,周围白色角化。组织病理表现为慢性黏膜炎症。治疗首选纠正自伤性习惯,愈合13例,复发17例,复发与自伤性习惯恢复有关。结论 自伤性习惯是本病重要的诊断依据,纠正自伤性习惯是本病重要的治疗方法。本病很可能是儿童注意缺陷障碍伴多动症的口腔表现。Objective Definite the diagnosis and improve the curative effect of oral factitial ulcers. Methods The clinical experience on 30 cases of factitial ulcers from our hospital during 1986 to 2000 studied prospectively. Results The oral mucosal disease studied were occurred more in male children and juvenile. All of the cases were used to chew the buc-cal, lingual , and lip mucosae. The ulcers were happened more at buccal and border tongue . The number of ulcers were 1-4, and the diameter from 2 to 20mm, with an irregular appearance surrounded by white hyperkeratosis. The histopathology features of the present disease were chronic nonspecific inflammation. The correction of patient's harmful habit was the first selective treatment method. Thirteen cases were healed, but 17 cases had the history of recurrence related to regain of self- inflicted habit. Conclusion The existence of self- inflicted habit is the significant diagnostic evidence of oral factitial ulcers. The correction of patient's harmful habit is the important treatment method. Oral factitial ulcers may be closely related to attention dificit hyperactivity disorder.

关 键 词：口腔黏膜自伤性溃疡 诊断 治疗 消炎防腐类药 抗生素 

分 类 号：R781.5[医药卫生—口腔医学]