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[受电离辐射工人口腔黏膜的癌前病变]

[Precancerous lesions of the mouth mucosa in workers exposed to ionizing radiation].

作者信息

Ramzaeva L V, Degtiareva E P

出版信息

Med Radiol (Mosk). 1986 May;31(5):36-9.

PMID:3713468
Abstract

Oral cavity tissues were examined in 398 persons aged 20 to 60 working with ionizing radiation sources (gamma-defectoscopists, x-ray technicians and radiologists). 222 persons worked with ionizing radiation for 1-10 yrs, 176 for 11-25 yrs. They were compared with 203 controls who had not been subjected to occupational irradiation. In all the cases radiation exposure doses did not exceed maximum permissible levels. Stomatological examination of the study group revealed a high prevalence of precancerous changes of the oral mucosa in men only. They were usually manifested in disturbance of keratinization of leukoplakia type. Tobacco smoking can play a certain role in the development of such changes of the oral mucosa in persons subjected to chronic radiation exposure. A further study of the stomatological status in persons of the above occupational group was found necessary.

摘要

对398名年龄在20至60岁之间从事电离辐射源工作的人员(γ探伤员、X射线技术员和放射科医生)的口腔组织进行了检查。222人从事电离辐射工作1至10年,176人从事11至25年。将他们与203名未遭受职业辐射的对照组人员进行了比较。在所有情况下,辐射暴露剂量均未超过最大允许水平。对研究组的口腔检查发现,仅在男性中口腔黏膜癌前病变的患病率较高。它们通常表现为白斑型角化紊乱。吸烟在遭受慢性辐射暴露的人群中口腔黏膜此类变化的发展中可能起一定作用。有必要对上述职业群体人员的口腔状况进行进一步研究。

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