Department of Oral Pathology, Oral Medicine & Periodontology, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
Oral Dis. 2011 Mar;17(2):210-6. doi: 10.1111/j.1601-0825.2010.01724.x. Epub 2010 Aug 27.
To determine the prevalence of tongue lesions in Malaysian dental outpatients from the Klang Valley area.
A cross sectional study was conducted on 600 Malaysian outpatients (257 men, 343 women, mean age, 37.7 years) attending the Primary Dental Care Unit at the Faculty of Dentistry, University of Malaya. Demographic and medical data were recorded for all respondents.
One hundred eighty-one patients (30.2%) (81 men, 100 women, mean age 42.0 years) were diagnosed with at least one tongue lesion (n = 207) at the time of examination. Of these, 24 patients (4%) had two or more tongue lesions present synchronously. Seven different lesions were diagnosed: fissured tongue (13.8%), crenated tongue (7.8%), pigmented tongue (6.2%), geographic tongue (2.2%), ankyloglossia (1.7%), hairy tongue (1.0%) and median rhomboid glossitis (0.2%). Their racial prevalences were Malays (n = 65, 10.8%), Indians (n = 62, 10.3%), Chinese (n = 53, 8.8%) and other race (n = 1, 0.2%). A significant relationship was observed between crenated tongue and race; between four types of tongue lesions (fissured tongue, geographic tongue, crenated tongue and pigmented tongue) and age; and between fissured tongue and gender (P < 0.05).
Distribution characteristics of tongue lesions in Malaysians are important as local reference data in the daily clinical practice.
确定马来西亚芙蓉谷地区牙科门诊患者舌部病变的患病率。
本研究为横断面研究，纳入了 600 名在马来亚大学牙科学院初级牙科护理部就诊的马来西亚门诊患者（男 257 例，女 343 例；平均年龄 37.7 岁）。所有患者均记录了人口统计学和医学数据。
181 名患者（30.2%）（男 81 例，女 100 例；平均年龄 42.0 岁）在检查时被诊断患有至少一种舌部病变（n=207）。其中 24 名患者（4%）同时存在两种或多种舌部病变。共诊断出 7 种不同的病变：裂舌（13.8%）、皱缩舌（7.8%）、色素沉着舌（6.2%）、地图舌（2.2%）、舌系带过短（1.7%）、毛舌（1.0%）和菱形舌炎（0.2%）。其种族患病率分别为马来人（n=65，10.8%）、印度人（n=62，10.3%）、中国人（n=53，8.8%）和其他种族（n=1，0.2%）。观察到皱缩舌与种族之间存在显著相关性；四种舌部病变（裂舌、地图舌、皱缩舌和色素沉着舌）与年龄之间存在相关性；以及裂舌与性别之间存在相关性（P<0.05）。
马来西亚人舌部病变的分布特征在日常临床实践中具有重要的本地参考价值。
