印度口腔黏膜下纤维化的区域差异。
Regional variations in oral submucous fibrosis in India.
作者信息
Bhonsle R B, Murti P R, Daftary D K, Gupta P C, Mehta F S, Sinor P N, Irani R R, Pindborg J J
出版信息
Community Dent Oral Epidemiol. 1987 Aug;15(4):225-9. doi: 10.1111/j.1600-0528.1987.tb00526.x.
Regional variations in the characteristics of submucous fibrosis were studied in two districts in India. In Pune district this condition involved soft palate, uvula and retromolar areas significantly more often than in Ernakulam district. The tongue, floor of the mouth and the hard palate were not involved in Pune. The age of the patients in Pune district was lower than in Ernakulam district. Associated oral cancer, leukoplakia and petechiae were observed solely among patients in Ernakulam. The most important etiologic factor for submucous fibrosis is the chewing of areca nut, and in both areas studied all patients chewed areca nut. In Pune, cured areca nut without other ingredients was chewed by 66% and in Ernakulam, raw areca nut was chewed as an ingredient of pan with tobacco by 100%. Thus in Ernakulam, the juice and the quid were mostly spat out, whereas in Pune they were swallowed. The regional variations in the characteristics of submucous fibrosis could be related to the differences in the areca nut chewing habit between the two areas.
在印度的两个地区对黏膜下纤维化的特征进行了区域差异研究。在浦那地区，这种病症累及软腭、悬雍垂和磨牙后区的频率明显高于埃尔讷古勒姆地区。在浦那，舌头、口腔底部和硬腭未受累。浦那地区患者的年龄低于埃尔讷古勒姆地区。仅在埃尔讷古勒姆的患者中观察到相关的口腔癌、白斑和瘀点。黏膜下纤维化最重要的病因是咀嚼槟榔，在所研究的两个地区，所有患者都咀嚼槟榔。在浦那，66%的人咀嚼不含其他成分的熟槟榔，而在埃尔讷古勒姆，100%的人将生槟榔作为烟草叶卷的成分咀嚼。因此，在埃尔讷古勒姆，汁液和槟榔块大多被吐出，而在浦那则被咽下。黏膜下纤维化特征的区域差异可能与两个地区槟榔咀嚼习惯的差异有关。
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