实用医学杂志 ›› 2022, Vol. 38 ›› Issue (19): 2486-2490.doi: 10.3969/j.issn.1006⁃5725.2022.19.021

• 综述 • 上一篇    下一篇

原发性灼口综合征的研究进展 

李莹李清王璇周利君谈智   

  1. 1 中山大学中山医学院生理教研室及中山大学疼痛研究中心(广州510080);2 广东省第二人民医院口腔科 (广州510310);3 深圳市罗湖区妇幼保健院口腔科(广东深圳518019

  • 出版日期:2022-10-10 发布日期:2022-10-10
  • 通讯作者: 谈智 E⁃mail:tanzhi@mail.sysu.edu.cn
  • 基金资助:
    国家自然科学基金(编号:81771204);广东省自然科学基金(编号 :2021A1515011742,2021A1515011201,2020A15
    15010204,2019A1515011838)

Research advances in burning mouth syndrome 

LI Ying*LI QingWANG XuanZHOU LijunTAN Zhi.    

  1. Department of Physiology and Pain Research CenterZhongshan School of MedicineSun Yat ⁃ sen UniversityGuangzhou 510080China

  • Online:2022-10-10 Published:2022-10-10
  • Contact: TAN Zhi E⁃mail:tanzhi@mail.sysu.edu.cn

摘要:

原发性灼口综合征(burning mouth syndromeBMS)是以舌部为主要发病部位,持续(慢性)或 反复口腔烧灼感为主要症状,但无明显临床损害和组织学改变、无明确病因的慢性顽固性黏膜疼痛 疾病。由于其流行病学、病因和发病机制尚不清楚,目前缺乏诊断金标准和有效的治疗方法。本文从 BMS 命名和归类的演变、病理机制、诊断方法(问卷调查、影像学检查、血清或唾液测试)以及治疗性诊 断等方面进行综述。随着临床实践和研究的深入,BMS 病理机制的了解和诊断检测方法的正确使用有 望受益

关键词:

灼口综合征, 病因学, 发病机理, 生物学标志物, 治疗

Abstract:

Primary burning mouth syndromeBMSis defined as a chronic intractable mucosal painful disease characterized with tongue as the main lesion and ongoingchronicor recurrent burning in the mouth as the main symptomsbut without significant clinical damagehistological changes and obvious causes. Due to its unclear epidemiologyetiology and pathogenesisthere is lack of standardized diagnostic criteria and effective treatment. The present study reviews five aspects of BMSincluding the evolution of BMS terminology and classifi⁃ cationpathophysiological mechanismsdiagnostic methodsquestionnairesimaging examinationsand serum or saliva tests),and therapeutic diagnosis. In the futurewith the in⁃depth clinical practice and researchBMS patients may benefit from a deeper understanding of the pathological mechanism and the proper use of diagnostic tests.

Key words:

burning mouth syndrome, etiology, pathogenesis, biomarker, treatment