放射性口腔黏膜炎的临床诊疗OA
Clinical diagnosis and treatment of radiation-induced oral mucositis
口腔黏膜病的病因复杂,其发病机制不仅与患者全身状态及疾病本身密切相关,还与全身性疾病治疗过程中产生的继发性损伤直接关联.放射性口腔黏膜炎(radiation-induced oral mucositis,RIOM)在口腔黏膜病中属于性质特殊的类型,其发病与头颈部肿瘤放疗直接相关,诊疗逻辑与普通黏膜病差异显著.文章对RIOM的临床表现、诊断和鉴别诊断、治疗进行阐述,特别强调RIOM患者的管理目标和难点,以期为临床工作提供理论和经验指导,实现诊断风险防控,提高质量疗效.
The etiology of oral mucosal diseases is com-plex,and the pathogenesis is closely associated with systemic status and disorders.In some cases,it is directly linked to sec-ondary damage induced by the treatment for systemic diseas-es.Radiation-induced oral mucositis(RIOM)is a special type of oral mucosal disease.Its occurrence is directly related to ra-diotherapy for head and neck tumors,and its diagnosis and treatment logics differ significantly from those of common mu-cosal diseases.We mainly elaborate on the clinical manifesta-tions,diagnosis and differential diagnosis,as well as treatment of RIOM.We place special emphasis on the management goals and challenges for RIOM patients,thereby providing the-oretical and practical guidance for clinical practice.Our aim is to facilitate the prevention and control of diagnostic risks and improve the quality and efficacy of RIOM treatment.
彭川洋;张英
中国医科大学口腔医学院·附属口腔医院口腔急诊·黏膜病科,辽宁省口腔疾病重点实验室,辽宁沈阳 110002中国医科大学口腔医学院·附属口腔医院口腔急诊·黏膜病科,辽宁省口腔疾病重点实验室,辽宁沈阳 110002
医药卫生
放射性口腔黏膜炎诊断治疗
radiation-induced oral mucositisdiagnosistreatment
《中国实用口腔科杂志》 2026 (1)
19-26,8
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