白血病龈病损的诊断与鉴别诊断思路  

Diagnosis and antidiastole of leukemia-associated gingival lesions

作　　者：张立[1] 孟焕新[1] Zhang Li;Meng Huanxin(Department of Periodontology,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院·口腔医院牙周科、国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔生物材料和数字诊疗装备国家工程研究中心、口腔数字医学北京市重点实验室,北京100081

出　　处：《中华口腔医学杂志》2023年第7期706-710,共5页Chinese Journal of Stomatology

摘　　要：白血病是造血干细胞恶性克隆性疾病,是青少年和35岁以下成年人高发恶性肿瘤。白血病患者常有口腔表现,其中牙龈出血、肥大、溃疡、瘀点、苍白、加重的感染是白血病龈病损的主要表现。口腔医师发现并诊断白血病龈病损,及时转诊血液专科可改善患者预后。本文总结白血病龈病损的诊断与鉴别要点,并结合病例提出白血病龈病损的鉴别诊断思路。Leukemia is a heterogeneous group of hematological disorders that arises from a hematopoietic stem cell characterized by a disordered differentiation and proliferation of neoplastic cells.The prevalence of leukemia is high in juveniles and adults under 35 years.Gingival manifestations of leukemia include gingiva bleeding,enlargement,pallor,petechial,ulceration,which may be the first clinical signs of leukemia.In the dental clinic,identification of leukemia-associated gingival lesions,referring patients to hematologists without delay will improve the prognosis of leukemia.Diagnosis and antidiastole of leukemia-associated gingival lesions have been discussed with reference to the related cases.

关 键 词：白血病 白血病浸润 口腔表现 诊断 鉴别 牙龈出血 牙龈肥大 

分 类 号：R733.71[医药卫生—肿瘤]