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目的:通过对牙龈瘤的临床和组织病理学评估,获取牙龈瘤分布和生物学行为相关准确数据。方法:2011~2015年青海省红十字会医院口腔科诊断为牙龈瘤的100名患者,均接受激光切除手术,对临床资料和组织病理学特征进行回顾性分析。结果:组织病理学检查表明外周性骨化性纤维瘤(35%)、纤维瘤(27%)和化脓性肉芽肿(19%)为最常见的病理类型。牙龈瘤常见于前牙区。患者均表现为较差的口腔卫生、局部牙龈炎,部分表现为咬合创伤。结论:组织病理学检查可以明确病理分型及其生物学行为。较差的口腔卫生和咬合创伤可能在牙龈瘤病理发生过程中起到重要作用,同时也是复发的危险因素。
OBJECTIVE: To obtain accurate data on the distribution of gingiva and biological behavior through clinical and histopathological evaluation of gingiva. Methods: From 2011 to 2015, 100 patients diagnosed as gingival tumor in Red Cross Hospital of Qinghai Province were undergone laser resection surgery. The clinical data and histopathological features were retrospectively analyzed. Results: Histopathological examination revealed that peripheral ossifying fibroma (35%), fibroids (27%) and pyogenic granulomas (19%) were the most common pathological types. Gingival tumors are common in anterior teeth area. Patients showed poor oral hygiene, local gingivitis, and partially manifested as occlusal trauma. Conclusion: Histopathological examination can clarify the pathological type and its biological behavior. Poor oral hygiene and occlusal trauma may play an important role in the pathogenesis of gingiva and are also risk factors for recurrence.