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[糜烂性唇炎癌前病变的冷冻外科治疗]

[Cryosurgical treatment of precancerous cheilitis abrasiva].

作者信息

Hahn A, Ernst K, Hundeiker M

机构信息

Fachklinik Hornheide, Münster-Handorf.

出版信息

Z Hautkr. 1990 Nov;65(11):1044-6.

PMID:2080657
Abstract

Between 1984 and 1988, 44 patients suffering from cheilitis abrasiva praecancerosa were treated with cryosurgery using a nitrous oxide cryoprobe. A single treatment proved sufficient in 35 patients (80%). 9 patients (20%) developed a recurrent lesion 4 to 28 months after cryosurgery. All recurrences appeared within the first year. On account of the recidivity of the disease, we recommend a careful follow-up of the patients. On the other hand, cryosurgery has the advantage that it can be applied in elderly persons as well as in patients with concomitant internal diseases. In pracancerous lesions, the common drawbacks of a surgical therapy such as diminution of the lower lip and impairment of the superficial sensitivity can be avoided with the help of this technique. Invasive carcinomas of the lower lip, however, should not be treated with cryosurgery.

摘要

1984年至1988年间,44例患有癌前磨损性唇炎的患者使用一氧化二氮冷冻探头进行了冷冻手术治疗。35例患者(80%)单次治疗就足够了。9例患者(20%)在冷冻手术后4至28个月出现复发病变。所有复发均出现在第一年内。鉴于该疾病的复发性,我们建议对患者进行仔细随访。另一方面,冷冻手术的优点是它可以应用于老年人以及患有内科疾病的患者。在癌前病变中,借助该技术可以避免手术治疗常见的缺点,如下唇缩小和表面敏感性受损。然而,下唇浸润性癌不应采用冷冻手术治疗。

相似文献

1
[Cryosurgical treatment of precancerous cheilitis abrasiva].[糜烂性唇炎癌前病变的冷冻外科治疗]
Z Hautkr. 1990 Nov;65(11):1044-6.
2
The "lip shave" operation for pre-malignant conditions and micro-invasive carcinoma of the lower lip.针对下唇癌前病变及微浸润癌的“唇部切除术”。
J Otolaryngol. 1977 Oct;6(5):407-11.
3
[Cryotherapy of precancerous lesions of the oral cavity].[口腔癌前病变的冷冻疗法]
Minerva Stomatol. 1979 Oct-Dec;28(4):303-17.
4
[Surgical treatment of advanced cancer and precancerous conditions of the lower lip].[下唇晚期癌症及癌前病变的外科治疗]
Hautarzt. 1969 May;20(5):219-22.
5
Cryosurgery acne attachment for actinic cheilitis.用于光化性唇炎的冷冻手术痤疮附件。
Dermatol Surg. 2000 Sep;26(9):899. doi: 10.1046/j.1524-4725.2000.00131.x.
6
[Precancerous lesions of the oral cavity: review of the literature and an analysis of cases].
Acta Otorhinolaryngol Ital. 1998 Feb;18(1):7-10.
7
[Precancerous cheilitis abrasiva].
Klin Med (Mosk). 1967 Apr;45(4):93-9.
8
Actinic keratosis: from the skin to the lip.光化性角化病:从皮肤到唇部
J Oral Maxillofac Surg. 2008 Jun;66(6):1162-76. doi: 10.1016/j.joms.2008.01.047.
9
Cryosurgical management of benign and dysplastic intraoral lesions.
J Oral Surg. 1980 Sep;38(9):671-6.
10
[Short-focus x-ray therapy of precancerous diseases of the lower lip].[下唇癌前疾病的短焦距X线治疗]
Vopr Onkol. 1973;19(12):74-6.

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