口腔颌面部异常相关的治疗建议
腺性唇炎的治疗首先应避免刺激,积极寻找并去除可疑致病因素。对于轻中型病例,局部使用皮质类固醇激素如曲安奈德注射液进行局部封闭治疗可能取得满意效果,若效果不佳还可以考虑口服米诺环素(minocycline)联合局部使用他克莫司软膏。严重病例也可口服皮质类固醇激素,对于怀疑恶变可能者,酌情手术治疗。
参考文献
[1]Bovenschen H J.Novel treatment for cheilitis glandularis[J].Acta Dermato-Venereologica,2009,89(1):99-100.
[2]Kumar P,Mandal R.Cheilitis glandularis[J].Indian Journal of Dermatology,Venereology,and Leprology,2015,81(4):430.
[3]Nico M M S,Nakano de Melo J,Lourenço S V.Cheilitis glandularis:A clinicopathological study in 22 patients[J].Journal of the American Academy of Dermatology,2010,62(2):233-238.
[4]Rogers R S Ⅲ,Bekic M.Diseases of the lips[J].Seminars in Cutaneous Medicine and Surgery,1997,16(4):328-336.
[5]Miest R Y,Bruce A J,Comfere N I,et al.A diagnostic approach to recurrent orofacial swelling:A retrospective study of 104 patients[J].Mayo Clinic Proceedings,2017,92(7):1053-1060.(https://www.daowen.com)
[6]Nico M M S,Melo J N,Lourenço S V.Cheilitis glandularis:Immunohistochemical expression of protein water channels(aquaporins)in minor labial salivary glands[J].Journalo f the European Academy of Dermatology and Venereology,2014,28(3):382-387.
[7]Reiter S,Vered M,Yarom N,et al.Cheilitis glandularis:Clinico-histopathological diagnostic criteria[J].Oral Diseases,2011,17(3):335-339.
[8]曹代娣,柳志文.急性深部化脓型腺性唇炎1例[J].现代口腔医学杂志,2014,28(1):59+45.
[9]王和壁.对老年口腔黏膜病变的病理分析[J].当代医药论丛,2014,12(19):279-280.
[10]宋绍华.曲安奈德治疗腺性唇炎27例疗效分析[J].中国煤炭工业医学杂志,2007,10(8):875.
(林琳 段宁)