口腔黏膜纤维化的超声成像及其与口腔黏膜下纤维化临床分期的相关性
Sonographic imaging of fibrosis of oral mucosa and its correlation with clinical staging in oral submucous fibrosis.
作者信息
Nadendla Lakshmi Kavitha, Tatikonda Venkat Kishan, Bangi Balaji Babu, Bhayya Harsha, Devulapally Revath Vyas, Pokala Archana
机构信息
Department of Oral Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, Telangana, India.
Department of General Radiology, Kamineni Institute of Medical Sciences, Nalgonda, Telangana, India.
出版信息
J Cancer Res Ther. 2018 Jan-Mar;14(2):394-397. doi: 10.4103/0973-1482.183194.
BACKGROUND AND OBJECTIVES
To evaluate the efficacy of ultrasonography (USG) as a noninvasive tool in assessing the severity of oral submucous fibrosis (OSMF) by measuring the submucosal thickness and also to correlate the sonographic changes with clinical staging.
MATERIALS AND METHODS
The submucosal thickness of the upper and lower labial mucosa, anterior and posterior portions of the right and left buccal mucosa were measured using ultrasound in 64 patients comprising of 32 OSMF patients and 32 controls. Among the controls, 16 were with a habit of chewing gutkha and 16 were without any habit history.
RESULTS
In OSMF group, four patients were with Stage I, 13 were with Stage II, 11 were with Stage III, and four with Stage IV. Results were analyzed by one-way analysis of variance for the significance of difference among the groups in submucosal thickness. As the stages of OSMF advanced, there was an increase in submucosal thickness of the buccal mucosa in the study group when compared with controls (P< 0.005).
CONCLUSION
USG is an effective noninvasive zero radiation tool for assessing the progression of OSMF.
背景与目的
通过测量口腔黏膜下纤维化（OSMF）患者的黏膜下厚度，评估超声检查（USG）作为一种非侵入性工具在评估OSMF严重程度方面的有效性，并将超声图像变化与临床分期相关联。
材料与方法
对64例患者（包括32例OSMF患者和32例对照）使用超声测量上下唇黏膜、左右颊黏膜前后部的黏膜下厚度。在对照组中，16例有嚼槟榔习惯，16例无任何习惯史。
结果
OSMF组中，4例为I期，13例为II期，11例为III期，4例为IV期。通过单因素方差分析对各组黏膜下厚度差异的显著性进行分析。与对照组相比，研究组中随着OSMF分期的进展，颊黏膜的黏膜下厚度增加（P<0.005）。
结论
超声检查是评估OSMF进展的一种有效的非侵入性零辐射工具。
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