T/CHSA 004-2019 下颌骨放射性骨坏死临床诊疗专家共识
简介
T/CHSA 004-2019
下颌骨放射性骨坏死临床诊疗专家共识
Expert consensus on clinical diagnosis and treatment of osteoradionecrosis of mandible
2019- 12- 31实施
2019- 12-31发布 目 次 前言 ............................................................................... 1 引言 ................................................................................ 1 1 范围 .............................................................................. 1 2 术语及定义 ........................................................................ 1 3 病因学与高危因素 .................................................................. 2 4 诊断和鉴别诊断 .................................................................... 2 4.1 临床表现 ...................................................................... 2 4.2 影像学表现 .................................................................... 2 4.2.1 X 线片..................................................................... 2 4.2.2 电子计算机断层扫描 ........................................................ 3 4.2.3 MRI ....................................................................... 3 4.3 组织病理学 .................................................................... 3 4.4 诊断标准 ...................................................................... 3 4.5 鉴别诊断 ...................................................................... 3 5 BS 分类及分期...................................................................... 3 6 治疗 .............................................................................. 4 6.1 治疗原则 ...................................................................... 4 6.2 下颌骨 ORN 保守治疗 ............................................................ 4 6.2.1 口腔护理及创口处理 ........................................................ 4 6.2.2 高压氧治疗 ................................................................ 4 6.2.3 中医中药治疗 .............................................................. 5 6.2.4 其他治疗 .................................................................. 5 6.3 手术治疗 ...................................................................... 5 6.3.1 病灶刮除术 ................................................................ 5 6.3.2 下颌骨边缘性切除术 ........................................................ 5 6.3.3 下颌骨节段性切除术 ........................................................ 5 6.3.4 下颌骨节段性切除术+血管化组织瓣修复 ....................................... 5 6.3.5 下颌骨切除后重建修复的注意事项 ............................................ 5 6.4 全身支持治疗 .................................................................. 6 6.4.1 营养支持治疗 .............................................................. 6 6.4.2 疼痛治疗 .................................................................. 6 6.4.3 抗感染治疗 ................................................................ 6 6.5 下颌骨 ORN 诊疗流程 ............................................................ 6 7 疗效评价 .......................................................................... 7 8 下颌骨 ORN 的预防 .................................................................. 7 8.1 手术预防措施 .................................................................. 7 8.2 放疗前的准备措施 .............................................................. 8 8.3 放疗过程中的预防措施 .......................................................... 8 8.4 放疗后的预防措施 .............................................................. 8 8.5 放疗方法和技术的改进 .......................................................... 8 参考文献 ............................................................................. 9 前 言 本标准按照GB/T1.1-2009给出的规则起草。 本标准由中华口腔医学会口腔颌面外科专业委员会提出。 本标准由中华口腔医学会归口。
T/CHSA 004-2019
下颌骨放射性骨坏死临床诊疗专家共识
Expert consensus on clinical diagnosis and treatment of osteoradionecrosis of mandible
2019- 12- 31实施
2019- 12-31发布 目 次 前言 ............................................................................... 1 引言 ................................................................................ 1 1 范围 .............................................................................. 1 2 术语及定义 ........................................................................ 1 3 病因学与高危因素 .................................................................. 2 4 诊断和鉴别诊断 .................................................................... 2 4.1 临床表现 ...................................................................... 2 4.2 影像学表现 .................................................................... 2 4.2.1 X 线片..................................................................... 2 4.2.2 电子计算机断层扫描 ........................................................ 3 4.2.3 MRI ....................................................................... 3 4.3 组织病理学 .................................................................... 3 4.4 诊断标准 ...................................................................... 3 4.5 鉴别诊断 ...................................................................... 3 5 BS 分类及分期...................................................................... 3 6 治疗 .............................................................................. 4 6.1 治疗原则 ...................................................................... 4 6.2 下颌骨 ORN 保守治疗 ............................................................ 4 6.2.1 口腔护理及创口处理 ........................................................ 4 6.2.2 高压氧治疗 ................................................................ 4 6.2.3 中医中药治疗 .............................................................. 5 6.2.4 其他治疗 .................................................................. 5 6.3 手术治疗 ...................................................................... 5 6.3.1 病灶刮除术 ................................................................ 5 6.3.2 下颌骨边缘性切除术 ........................................................ 5 6.3.3 下颌骨节段性切除术 ........................................................ 5 6.3.4 下颌骨节段性切除术+血管化组织瓣修复 ....................................... 5 6.3.5 下颌骨切除后重建修复的注意事项 ............................................ 5 6.4 全身支持治疗 .................................................................. 6 6.4.1 营养支持治疗 .............................................................. 6 6.4.2 疼痛治疗 .................................................................. 6 6.4.3 抗感染治疗 ................................................................ 6 6.5 下颌骨 ORN 诊疗流程 ............................................................ 6 7 疗效评价 .......................................................................... 7 8 下颌骨 ORN 的预防 .................................................................. 7 8.1 手术预防措施 .................................................................. 7 8.2 放疗前的准备措施 .............................................................. 8 8.3 放疗过程中的预防措施 .......................................................... 8 8.4 放疗后的预防措施 .............................................................. 8 8.5 放疗方法和技术的改进 .......................................................... 8 参考文献 ............................................................................. 9 前 言 本标准按照GB/T1.1-2009给出的规则起草。 本标准由中华口腔医学会口腔颌面外科专业委员会提出。 本标准由中华口腔医学会归口。
推荐下载
精品资源合集一键下载