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class="ar_con bg louti"> <div id="tmyyfroktkho" class="ar_title"> <h1>經(jīng)常得口腔潰瘍?cè)趺椿厥?/h1> <div id="tmyyfroktkho" class="ar_title_b"> <div id="tmyyfroktkho" class="sub_title clear"> <span id="tmyyfroktkho" class="sp2 c6 fl">時(shí)間：<time class="fxtime">2017-06-03 11:14:53</time></span> <span id="tmyyfroktkho" class="sp1 c6 fl"><em id="zuozhe" class="noshow">立文</em><em class="user_id noshow">804</em>由 <em class="nickname"></em> 分享</span> <span id="tmyyfroktkho" class="fl arc_btn"></span> </div> </div> </div> <div id="tmyyfroktkho" class="y_ju"><script type="text/javascript">a("title");</script></div> <div id="tmyyfroktkho" class="con_article con_main" id="contentText"> <p>經(jīng)常得口腔潰瘍?cè)趺椿厥?/p><p> 　　口腔長(zhǎng)潰瘍總不好，還越來越嚴(yán)重，這可能是口腔癌的前兆!因?yàn)闄壚?、煙酒、特別燙的食物都可引起口腔癌變。佩戴不合適假牙或爛牙根使口腔組織長(zhǎng)期受損，也易造成口腔癌。那么經(jīng)常得口腔潰瘍?cè)趺椿厥履?下面小編帶你一一了解!</p><h2> 　　哪些人容易得口腔潰瘍</h2><p> 　　1、胃腸不好的人</p><p> 　　慢性胃炎、胃十二指腸潰瘍、便秘、痔瘡等胃腸道疾病患者，復(fù)發(fā)性口腔潰瘍的發(fā)病率會(huì)明顯增高。因?yàn)槿梭w全身黏膜結(jié)構(gòu)是相似的，慢性胃炎、胃十二指腸潰瘍等疾病的主要病損在消化道黏膜。</p><p> 　　2、營(yíng)養(yǎng)缺乏或貧血的人</p><p> 　　尤其是缺乏鐵和B族維生素的人，口腔黏膜很容易受損破潰。</p><p> 　　3、糖尿病、血液病、結(jié)核病等慢性病患者</p><p> 　　由于黏膜的營(yíng)養(yǎng)供應(yīng)不良，也容易出現(xiàn)口腔潰瘍。</p><p> 　　4、月經(jīng)前的女性</p><p> 　　有些女性月經(jīng)前經(jīng)常長(zhǎng)口腔潰瘍，懷孕后就消失了，而在分娩后孩子快一歲時(shí)，潰瘍又開始出現(xiàn)。這主要是因?yàn)?，女性體內(nèi)的黃體酮等性激素對(duì)口腔黏膜具有保護(hù)作用，懷孕時(shí)黃體酮水平升高，口腔潰瘍就少發(fā)或不發(fā)。分娩后，性激素水平逐漸恢復(fù)到孕前，保護(hù)作用減弱，潰瘍就會(huì)復(fù)發(fā)。</p><p> 　　5、免疫紊亂患者</p><p> 　　任何會(huì)引起免疫功能紊亂的因素，都可能誘發(fā)口腔潰瘍。</p><h2> 　　經(jīng)常得口腔潰瘍?cè)趺椿厥?/h2><p> 　　1、藥物影響</p><p> 　　有不少藥物會(huì)誘發(fā)或直接導(dǎo)致口腔潰瘍的發(fā)生，像抗腫瘤藥物，如甲氨蝶呤、環(huán)磷酰胺、阿霉素等。</p><p> 　?、倏股匕逼S西林、頭孢氨芐、甲硝唑及替硝唑等，可誘發(fā)口腔變態(tài)反應(yīng)而產(chǎn)生潰瘍。</p><p> 　?、诹沁拎ぃ壳皬V泛用于治療潰瘍性結(jié)腸炎、類風(fēng)濕性關(guān)節(jié)炎、銀屑病和結(jié)節(jié)性紅斑等疾病。它也可引起口腔漬瘍。</p><p> 　?、垡种莆杆岱置诘乃幬?，如奧美拉唑、西咪替丁，在用藥4—5天后，患者可出現(xiàn)口干、口腔黏膜糜爛等癥狀。</p><h2> 　　口腔潰瘍臨床表現(xiàn)</h2><p> 　　1.復(fù)發(fā)性阿弗他性口炎</p><p> 　　又稱復(fù)發(fā)性口腔潰瘍(recurrentoralulcer，ROU)、復(fù)發(fā)性口瘡(recurrentaphthae)或(cankersores)，灼痛是其突出特征，顧冠以“阿弗他”名(希臘文aphthous為“灼痛”之意)，外觀為單個(gè)或者多個(gè)大小不一的圓形或橢圓形潰瘍，表面覆蓋灰白或黃色假膜，中央凹陷，邊界清楚，周圍黏膜紅而微腫。具有周期性、復(fù)發(fā)性、自限性的特征，年齡不拘，發(fā)病年齡估計(jì)在10～20歲之間，女性較多。一年四季均能發(fā)生，能在10天左右自愈。</p><p> 　　2.貝赫切特綜合征</p><p> 　　其口腔黏膜損害癥狀和發(fā)生規(guī)律與復(fù)發(fā)性阿弗他潰瘍類似，除此之外，本病累及多系統(tǒng)多臟器，且有先后出現(xiàn)的口腔外病損癥狀。眼、生殖器、皮膚病損也是其主要臨床特征，表現(xiàn)為反復(fù)性生殖部位潰瘍、皮膚結(jié)節(jié)性紅斑、毛囊炎、葡萄膜炎。嚴(yán)重者可發(fā)生關(guān)節(jié)、小血管、神經(jīng)、消化、呼吸、泌尿等多系統(tǒng)損害。</p><p> 　　3.創(chuàng)傷性潰瘍</p><p> 　　與機(jī)械性刺激、化學(xué)性灼傷或者熱冷刺激有密切關(guān)系，其發(fā)病部位和形態(tài)與機(jī)械刺激因子相符合。無復(fù)發(fā)史，去除刺激后潰瘍很快愈合;但如果任其發(fā)展，則有癌變可能。</p><p> 　　4.癌性潰瘍</p><p> 　　老年人多見，形態(tài)多不規(guī)則，其邊緣隆起呈凹凸不平狀，與周圍組織分界不清，潰瘍面的基底部不平整，呈顆粒狀，觸之硬韌，和正常黏膜有明顯的區(qū)別，疼痛不明顯。惡性潰瘍病程長(zhǎng)，數(shù)月甚至一年多都不愈合或逐漸擴(kuò)大，常規(guī)消炎防腐類藥物治療效果不明顯。良性口腔潰瘍患者較少出現(xiàn)全身癥狀;惡性口腔潰瘍患者則相反，可出現(xiàn)發(fā)熱、頸部淋巴結(jié)腫大、食欲不振、消瘦、貧血、乏力等表現(xiàn)。</p><p> 　　5.單純皰疹</p><p> 　　好發(fā)于嬰幼兒，早期以成簇的小水皰為主要表現(xiàn)，皰破后會(huì)融合成較大的糜爛面或不規(guī)則的潰瘍。復(fù)發(fā)與誘因有明確關(guān)系，復(fù)發(fā)前常伴有咽喉痛、乏力等前驅(qū)癥狀，發(fā)病期間多伴有明顯全身不適。</p><p> 　　6.放射性口炎</p><p> 　　有放射線暴露史，出現(xiàn)上述急、慢性口腔損害是其特征。放射性口炎黏膜損害程度較輕時(shí)出現(xiàn)口腔黏膜發(fā)紅、水腫;糜爛、潰瘍，覆蓋白色假膜，易出血，觸痛明顯，口干，口臭等，可以合并進(jìn)食困難等功能障礙和頭昏、失眠、厭食、脫發(fā)等全身癥狀，較重時(shí)可以伴發(fā)出血、繼發(fā)感染等全身損害。</p><p> 　　7.結(jié)核性潰瘍</p><p> 　　深在，形態(tài)不規(guī)則，呈鼠噬狀，基底暗紅色桑套樣肉芽組織增生，潰瘍經(jīng)久不愈，多伴有肺結(jié)核的體征和癥狀。</p><p> 　　8.壞死性涎腺化生</p><p> 　　男性多見，好發(fā)于軟腭、硬腭交界處，潰瘍深及骨面，周圍充血明顯，邊緣可隆起，底部有肉芽組織，病理表現(xiàn)為小涎腺壞死，患者全身情況較好。</p><hr /><p> 看過“經(jīng)常得口腔潰瘍?cè)趺椿厥?rdquo;的人還看了：</p><p> 1.<a _href="http://m.rzpgrj.com/fangfa/zhiliao/1503641.html" href="http://m.rzpgrj.com/fangfa/zhiliao/1503641.html" target="_blank">經(jīng)常性口腔潰瘍的原因和治療方法</a></p><p> 2.<a _href="http://m.rzpgrj.com/jiankang/jibing/1496348.html" href="http://m.rzpgrj.com/jiankang/jibing/1496348.html" target="_blank">經(jīng)常得口腔潰瘍?cè)趺椿厥?/a></p><p> 3.<a _href="http://m.rzpgrj.com/yuanyin/3094861.html" 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