白血病龈病损的诊断与鉴别诊断思路

Diagnosis and antidiastole of leukemia-associated gingival lesions

白血病是造血干细胞恶性克隆性疾病,是青少年和35岁以下成年人高发恶性肿瘤。白血病患者常有口腔表现,其中牙龈出血、肥大、溃疡、瘀点、苍白、加重的感染是白血病龈病损的主要表现。口腔医师发现并诊断白血病龈病损,及时转诊血液专科可改善患者预后。本文总结白血病龈病损的诊断与鉴别要点,并结合病例提出白血病龈病损的鉴别诊断思路。

Leukemia is a heterogeneous group of hematological disorders that arises from a hematopoietic stem cell characterized by a disordered differentiation and proliferation of neoplastic cells.The prevalence of leukemia is high in juveniles and adults under 35 years.Gingival manifestations of leukemia include gingiva bleeding,enlargement,pallor,petechial,ulceration,which may be the first clinical signs of leukemia.In the dental clinic,identification of leukemia-associated gingival lesions,referring patients to hematologists without delay will improve the prognosis of leukemia.Diagnosis and antidiastole of leukemia-associated gingival lesions have been discussed with reference to the related cases.