唇炎的分类与诊断

Classification and diagnosis of cheilaitis

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。

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 mu- cosal diseases is still at a low level. With the rapid develop- ment of stomatology, particularly of precision medicine, the existing classifications of cheilitis is no longer sufficient for clinical practice. We propose that the terminology of ＂chron- ic non-specific cheilitis （chronic cheilitis）＂ be abohshed and a new cheifitis 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.