Scully C, Porter S
Eastman Dental Institute for Oral Health Care Sciences, University of London.
Dent Update. 1998 Dec;25(10):478-84.
Mouth ulcers are one of the most common oral complaints. The term ulcer is used usually where there is damage to both epithelium and lamina propria, and a crater, sometimes made more obvious clinically by swelling caused by oedema or proliferation in the surrounding tissue. The term erosion is usually used where the damage is somewhat more superficial. Most ulcers/erosions are due to local causes such as trauma or burns. Some are caused by aphthae or malignant neoplasms, and a few have aetiology in obvious systemic disease. Ulcers of local cause, drugs, aphthous ulcers, Behcet's syndrome and malignant ulcers are discussed in this article. The next two articles discuss the ulcers due to systemic disease including disorders of the blood, gastrointestinal disorders, skin diseases, connective tissue disease and infective diseases.
口腔溃疡是最常见的口腔问题之一。溃疡这个术语通常用于上皮和固有层均受损且形成火山口状的情况,有时在临床上因周围组织水肿或增生引起的肿胀而使这种火山口状更加明显。糜烂这个术语通常用于损伤稍浅的情况。大多数溃疡/糜烂是由局部原因引起的,如创伤或烧伤。有些是由口疮或恶性肿瘤引起的,少数与明显的全身性疾病有关。本文讨论局部原因引起的溃疡、药物性溃疡、复发性阿弗他溃疡、白塞病和恶性溃疡。接下来的两篇文章将讨论由全身性疾病引起的溃疡,包括血液系统疾病、胃肠道疾病、皮肤病、结缔组织病和感染性疾病。