口腔医学研究

口腔医学研究 ›› 2023, Vol. 39 ›› Issue (12): 1033-1036.DOI: 10.13701/j.cnki.kqyxyj.2023.12.001

• 特约述评 •    下一篇

口腔黏膜疑难疾病的诊断思维

周刚*, 何明靖   

  1. 口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医院口腔黏膜科 湖北 武汉 430079
  • 收稿日期:2023-11-14 出版日期:2023-12-28 发布日期:2023-12-25
  • 通讯作者: * 周刚,E-mail:zhougang@whu.edu.cn
  • 作者简介:周刚,男,医学博士。一级主任医师,教授,博士生导师,武汉大学口腔医学院口腔黏膜科主任,口腔黏膜病学教研室主任。现任中华口腔医学会口腔黏膜病学专业委员会主任委员,湖北省口腔医学会口腔黏膜病及中西医结合专业委员会主任委员,中华口腔医学会第六届理事会理事,国际牙医师学院(ICD)Fellow,湖北省口腔医学会常务理事,湖北省政府专项津贴专家。国家自然科学基金委员会、教育部、科技部、国家科学技术奖励等评审专家,主持国家自然科学基金面上项目7项及省部级项目10余项,在国内外学术刊物上发表论文140余篇,其中以第一作者/通讯作者发表SCI论文70余篇,授权专利11个,主编《口腔黏膜病临床病例精解》等专著4部,副主编3部,参编欧洲《Diseases of the Oral Mucosa》、国家高等学院规划教材《口腔黏膜病学》等专著30余部。
  • 基金资助:
    国家自然科学基金(编号:82270983)

Diagnostic Thoughts to Difficult and Complicated Oral Mucosal Diseases

ZHOU Gang*, HE Mingjing   

  1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University; Department of Oral Medicine, School and Hospital of Stomatology, Wuhan University, China
  • Received:2023-11-14 Online:2023-12-28 Published:2023-12-25

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摘要： 口腔黏膜病是发生于口腔黏膜的种类众多、类型各异疾病的总称。疑难病是指病因复杂未明、诊断难以明确、医治难度较大的一类疾病。口腔黏膜疑难疾病的复杂性使得其诊断与鉴别诊断相对困难。本文分析了口腔黏膜疑难疾病的特点,结合临床案例,总结诊断过程中的“四应”要求和“五向”思维,为口腔医生诊断口腔黏膜疑难疾病提供参考。

关键词: 口腔黏膜病, 疑难病, 诊断, 鉴别诊断

Abstract: Difficult and complicated diseases refer to a class of diseases with complex etiology, difficult to diagnose, and difficult to treat. Oral mucosal disease is described as a series of disorders or conditions affecting the mucosa and soft tissue in the oral cavity. In particular, the intricacy of difficult and complicated oral mucosal diseases makes differential diagnosis and diagnosis rather challenging. This paper analyzes the characteristics of difficult and complicated oral mucosal diseases by combined with clinical case studies, and summarize "four must-dos" and "five-direction" diagnostic reasoning process, so as to provide assistance for oral clinicians.

Key words: oral mucosal diseases, complicated and difficult cases, diagnosis, differential diagnosis