口腔扁平苔藓诊疗指南(修订版)

Guideline for the diagnosis and treatment of oral lichen planus(revision)

口腔扁平苔藓是一种临床常见的口腔黏膜慢性炎性疾病,以中年女性多见,大多数患者有疼痛、粗糙不适等症状,部分病例还有癌变风险,对患者身心造成较大危害。积极预防、准确诊断和规范治疗对有效防治口腔扁平苔藓具有重要意义。本指南是在2012年试行版基础上进行修订,主要涵盖口腔扁平苔藓的病因及病史采集、临床表现、病理表现、诊断、鉴别诊断、治疗前检查、疾病治疗及预防等8个方面,为该病的临床诊疗提供科学依据和指导。

Oral lichen planus(OLP)is a chronic and inflammatory oral mucosal disease that commonly affects middle-aged females.Most OLP cases might exhibit such symptom as pain,roughness and other discomfort,and more severe forms may show a high risk of developing oral cancer.Active preventive measure,precise diagnosis and standard therapeutic approach play a vital role in the management and prevention of OLP.This guideline is a revision on the base of trial in 2012,which mainly covers the following 8 aspects:etiology and medical records,clinical manifestations,pathological manifestations,diagnosis,differential diagnosis,laboratory examination,disease treatment and prevention,aiming at providing scientific evidence and guidance for the dental clinicians in diagnose and treatment of OLP.