乙型和丙型病毒性肝炎患者口腔黏膜活检样本的形态特征

Karmen Sahakyan, Gayne Mkrtchyan, L. Yessayan, Vahe Azatyan
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摘要

摘要背景:目前,口腔黏膜疾病和牙周病是口腔医学的一个重要问题。对慢性弥漫性肝病口腔的研究引起了临床医生的极大兴趣,因为肝脏的病理过程通常会导致口腔黏膜的器质性和功能性紊乱。研究目的:本研究旨在揭示 HBV 和 HCV 患者口腔黏膜活检样本的形态特征:研究涉及 95 名 HBV 患者、96 名伴有口腔和牙周病变的 HCV 患者,以及 100 名无 HBV 和 HCV 但伴有口腔和牙周病变的对照组患者。患者的年龄在 21-64 岁之间。在我们检查的所有组别中,共进行了 20 项形态学研究:为了研究牙齿状况,我们考虑了患者的主诉和口腔临床检查数据,其中包括:嘴唇和嘴角的外部检查、口腔黏膜各部分状况的评估。为了证实临床数据的结果,我们对口腔黏膜活检样本进行了形态学研究。活检样本取自口腔黏膜的患病部位:在对乙型和丙型病毒性肝炎患者的口腔粘膜进行病理形态学研究时,所有患者都发现了炎症浸润、循环障碍和鳞状上皮的萎缩性变化,所有丙型肝炎患者都发现了纤维化。几乎所有 HBV 和 HCV 患者都发现淋巴浆细胞浸润。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MORPHOLOGICAL FEATURES OF BIOPSY SAMPLES OF THE ORAL MUCOSA IN PATIENTS WITH VIRAL HEPATITIS B AND C
Abstract Background: Currently, diseases of the oral mucosa and periodontal disease are an important problem in dentistry. Studies of the oral cavity in chronic diffuse liver diseases are of great interest to clinicians since pathological processes developing in the liver, as a rule, lead to organic and functional disorders in the oral mucosa. Purpose: The aim of the study was to reveal the morphological features of biopsy samples of the oral mucosa in patients with HBV and HCV. Materials and methods: The study involved 95 patients with HBV, 96 patients with HCV with lesions of the oral cavity and periodontium, as well as 100 patients in the control group without HBV and without HCV, but with lesions of the oral cavity and periodontium. The age of the patients ranged from 21-64 years. In all the groups we examined, 20 morphological studies were carried out. Results: To study the dental status, patients' complaints and data from a clinical examination of the oral cavity were taken into account, which included: external examination of the lips and corners of the mouth, assessment of the condition of various parts of the oral mucosa. To confirm the results of clinical data, we conducted a morphological study of a biopsy sample of the oral mucosa. Biopsies were taken from the affected areas of the oral mucosa. Conclusion: During a pathomorphological study of OM in viral hepatitis B and C, inflammatory infiltration, circulatory disorders and dystrophic changes in the squamous epithelium were detected in all patients, fibrosis - in all patients with HCV. Lymphoplasmacytic infiltration was detected in almost all patients with HBV and HCV
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