国际口腔医学杂志

国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (5): 595-600.doi: 10.7518/gjkq.2020096

• 综述 • 上一篇    下一篇

自伤性口腔溃疡的病因和临床诊疗特点

岳金涵(),王非,辛川,尹凤英,陈谦明,曾昕()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院黏膜病科 成都 610041
  • 收稿日期:2020-02-05 修回日期:2020-06-02 出版日期:2020-09-01 发布日期:2020-09-16
  • 通讯作者: 曾昕
  • 作者简介:岳金涵,住院医师,硕士,Email: 1841486468@qq.com
  • 基金资助:
    国家自然科学基金(81771081)

Factitious oral ulcer: causes, clinical characteristics, and treatment

Yue Jinhan(),Wang Fei,Xin Chuan,Yin Fengying,Chen Qianming,Zeng Xin()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral Mucosal Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-02-05 Revised:2020-06-02 Online:2020-09-01 Published:2020-09-16
  • Contact: Xin Zeng
  • Supported by:
    National Natural Science Foundation of China(81771081)

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摘要：

自伤性口腔溃疡属于创伤性口腔溃疡的一种,多认为是由于不良习惯、自伤性行为导致的口腔黏膜溃疡性改变。本文回顾总结了自伤性口腔溃疡的流行病学特点、临床表现、分型、病理学特征等内容,重点归纳分析了自伤性口腔溃疡的病因及诊疗特点,旨在强调精神心理行为异常在本疾病诊断、鉴别诊断、治疗等中的作用,为临床医生提供清晰、规范化的诊疗思路。

关键词: 自伤性口腔溃疡, 不良习惯, 自伤行为, 精神心理行为, 注意缺陷多动障碍, 抽动障碍

Abstract:

Factitious oral ulcer is a kind of traumatic oral ulcer that is caused by harmful habits or self-injurious behaviors. In this article, we reviewed and summarized the epidemiological characteristics, clinical manifestations, classification, and pathological characteristics of factitious oral ulcer. We mainly focused on the etiology, diagnosis, and treatment characteristics to emphasize the essential role of abnormal mental and psychological behaviors in the diagnosis, differential diagnosis, and treatment of the disease. Results of this study can help provide clear and standardized diagnosis and treatment ideas for clinicians.

Key words: factitious oral ulcer, deleterious habit, self-injurious behavior, mental and psychological behavior, attention-deficit hyperactivity disorder, tic disorder

中图分类号: 

  • R781.5+1

表 1

精神心理疾病筛查常用量表"

量表名称 适用人群 筛查目的
Achenbach儿童行为量表[36] 4~18岁的儿童及青少年 用于评估儿童各种精神病理学疾病,覆盖广泛
Conners父母症状问卷[37] 3~17岁儿童及青少年 用于评估儿童行为问题,特别是ADHD
SNAP-Ⅳ量表[38,39] 儿童及青少年ADHD患者 用于评估ADHD病情
Rutter儿童行为问卷 学龄期儿童 用于评估儿童的情绪、行为及精神问题
成人ADHD症状自评量表 成年人 用于成人ADHD筛查
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