Acta Metallurgica Sinica

Previous Articles     Next Articles

  

  • Online:2017-09-15 Published:2017-11-22

唇炎的分类与诊断

陈瑞扬   

  • 通讯作者: 天津市口腔医院(南开大学口腔医院),天津 300041
  • 作者简介:陈瑞扬,教授、主任医师。1982年毕业于上海第二医学院口腔系。毕业后一直从事口腔黏膜疾病诊疗和口腔组织病理诊断、教学和科研工作。对口腔黏膜疾病有丰富的诊疗经验。现任天津市口腔医院(南开大学口腔医院)黏膜病科主任医师,南开大学医学院口腔系口腔组织病理教研室主任,天津市医学高等专科学校口腔系口腔组织病理教研室主任。兼任国际牙医学院院士,中华口腔医学会口腔黏膜病专业委员会副主任委员,天津市口腔医学会秘书长,《现代口腔医学杂志》常务编委。近年来在国内外专业期刊发表论文20余篇,参编医学院校教材2部。

Abstract:

Classification of diseases is crucial to the diagnosis and treatment of the diseases. Over the past 30 years,every new revision of the disease classification has had a major impact on improving the level of treatment. Compared with the classification of clinical medicine,disease classification and other disciplines of stomatology,the classification of oral mucosal diseases is still at a low level. With the rapid development of stomatology,particularly of precision medicine,the existing classifications of cheilitis is no longer sufficient for clinical practice. We propose that the terminology of "chronic non-specific cheilitis (chronic cheilitis)" be abolished and a new cheilitis classification and typing system be established,following international principle of disease classification. For the cases where pathogen is clear,etiology should be applied in classification;for cases with unspecified etiology,pathology or pathogens should be applied. Should none of etiology,pathology or pathogens could be specified,clinical phenotype should be applied in classifications.

Key words: cheilitis, classification, typing, diagnosis

摘要:

疾病分类对疾病诊疗效果至关重要。疾病分类每进行一次新的修订,都会对提高治疗水平产生极大的影响。30年来,相对于临床医学疾病分类和口腔医学其他学科的疾病分类,口腔黏膜病的疾病分类还处于停滞状态。随着口腔医学的快速发展,特别是精准医学的发展,现有的唇炎分类已经不适合临床口腔黏膜病学的诊疗需要。建议取消“慢性非特异性唇炎(慢性唇炎)”这一分类诊断名词,提议按照国际疾病分类原则,建立新的唇炎分类、分型体系。病因明确的按照病因学分类,病因不明确的按照病理学分类或按照发病机制分类。病因、病理、发病机制均不明确的按照临床表型分类。

关键词: 唇炎, 分类, 分型, 诊断