CAJ | 학술논문

目的：探讨并分析以口腔症状为首诊的干燥综合征。方法回顾性分析我院于2012年4月～2013年7月收治的以口腔症状首诊的34例干燥综合征患者的临床资料，分析患者皮肤、关节以及眼等临床表现，实施抗核抗体谱、唇腺活检、角膜荧光素染色以及腮腺造影的检查。结果经检查分析，34例以口腔症状首诊的干燥综合征中，有30例患者为龋病，口干25例，腮腺肿大和口腔溃疡各为10例和7例，口腔外症状有18例患者为眼干。结论以口腔症状首诊的干燥综合征，在临床上主要表现为龋病和口干，抗核抗体谱、唇腺活检、角膜荧光素染色以及腮腺造影检查对于干燥综合征的临床诊断具有重要意义。
목적：탐토병분석이구강증상위수진적간조종합정。방법회고성분석아원우2012년4월～2013년7월수치적이구강증상수진적34례간조종합정환자적림상자료，분석환자피부、관절이급안등림상표현，실시항핵항체보、진선활검、각막형광소염색이급시선조영적검사。결과경검사분석，34례이구강증상수진적간조종합정중，유30례환자위우병，구간25례，시선종대화구강궤양각위10례화7례，구강외증상유18례환자위안간。결론이구강증상수진적간조종합정，재림상상주요표현위우병화구간，항핵항체보、진선활검、각막형광소염색이급시선조영검사대우간조종합정적림상진단구유중요의의。
Objective To investigate and analyze the oral symptoms led to diagnosis of Sjogren syndrome. Methods A retrospective analysis was conducted on 34 patients with Sjogren syndrome whose first diagnosis was oral symptoms admitted to our hospital in 2012 April~2013 July admitted, analysed the manifestation of skin, joints and eyes, implemented the anti nuclear antibody spectrum, corneal fluorescein staining and parotid sialography examination, labial salivary gland biopsy. Results After examination and analysis, 34 cases of Sjogren syndrome had oral symptoms as first diagnosis, 30 patients had dental caries, dry mouth and 25 cases of parotid gland swelling and ulcer of oral cavity, each had 10 cases and 7 cases with oral symptoms, 18 patients had dry eye. Conclusion Sjogren's first diagnosed oral symptom syndrome include dental caries and dry mouth, antinuclear antibodies, labial gland biopsy and corneal fluorescein staining. Parotid sialography examination has important clinical significance for the diagnosis of Sjogren syndrome.