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中华口腔医学研究杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 307 -311. doi: 10.3877/cma.j.issn.1674-1366.2024.05.004

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自伤性口腔损害及其疾病管理
李楠1, 邱思齐1, 薛鸣宇1, 张英1,()   
  1. 1. 中国医科大学口腔医学院口腔急诊·黏膜病科,沈阳 110000
  • 收稿日期:2024-06-13 出版日期:2024-10-01
  • 通信作者: 张英

Self-injurious oral lesions and related diseases management

Nan Li1, Siqi Qiu1, Mingyu Xue1, Ying Zhang1,()   

  1. 1. Department of Oral Emergency and Mucosal Diseases, China Medical University, Shenyang 110000, China
  • Received:2024-06-13 Published:2024-10-01
  • Corresponding author: Ying Zhang
  • Supported by:
    Science and Technology Plan Fund Project of Shenyang(21-173-9-40)
引用本文:

李楠, 邱思齐, 薛鸣宇, 张英. 自伤性口腔损害及其疾病管理[J]. 中华口腔医学研究杂志(电子版), 2024, 18(05): 307-311.

Nan Li, Siqi Qiu, Mingyu Xue, Ying Zhang. Self-injurious oral lesions and related diseases management[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(05): 307-311.

自伤性行为(SIB)可导致不同程度的自伤性损害。自伤性口腔损害多归类于非自杀性自伤行为(NSSI),因组织解剖因素和患者行为特点而有别于全身其他部位的自伤性损害表现。临床工作中不仅需要进行甄别以利于治疗,同时更要对具有自伤性损害行为的患者进行约束和指导转诊,防止疾病反复和(或)进展,甚至可能发生更危险后果。本文通过对自伤性口腔损害的概念及概况、病因及分类、临床特点及其疾病管理进行综述,以警示和指导口腔临床医师强化专业认识,做好相关临床工作。

Self-injurious behavior (SIB) leads to different extent of self-injurious damages. Oral self-injury is mostly classified as non-suicidal self-injury (NSSI), which differs from the self-injury manifestations of other parts of the body, because of patient anatomical factors and behavior characteristics. In clinical work, it is not only necessary to screen the patients to facilitate treatment, but also important to restrain and guide the referral of patients with self-injury damage behavior to prevent the recurrence and progression of the disease or even more dangerous consequences. This article summerized the concept, general situation, etiology, classification, clinical characteristics and disease management about various oral self-injury, in order to warn or guide general clinicians engaged in oral mucosal diseases, oral emergency, pediatric dentistry and stomatology to strengthen their professional understanding, and to do best in related clinical work.

图1 工作变故抑郁加重发生自伤性损害患者照片 1A:用拳持续抵压右侧颊部局部色素沉着;1B:口内右下颊黏膜及口角发生溃疡;1C:牙周组织破坏严重和自行拔除右下颌前磨牙。图2 产后抑郁自伤性咬唇患者照片 左侧下唇组织缺损。
图3 12岁患儿右颊后部自伤性溃疡(FOU)
图4 注意缺陷多动障碍(ADHD)患儿自伤性舌溃疡
图5 33岁男性患者左侧自伤咬颊导致多发大小不等的黏液囊肿
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