口腔外的

Besides the traditional contents of oral surgery, such as extraction of teeth, alveolar surgery, preprosthetic surgery, TMJ disorders, jaw injuries and salivary gland diseases, additional sections such as microvascular surgery, cosmetic surgery, plastic and reconstructive surgery, head and neck tumour surgery, and Traditional Chinese Medicine are also appurtenant parts of typical oral and maxillofacial surgery of China.

其所涉及的学科领域和内容较西方一些国家更广，除传统的口腔外科——牙及牙槽外科、修复前外科、颞下颌关节病、颌面损伤、唾液腺疾病等外，还包括了颌面整复外科、显微外科、头颈部肿瘤外科等内容，而且还有独特的传统医学——中医学的结合及参与，形成了具有中国特色的口腔颌面外科学。

Results: All of 21 patients had oral cavity ulcer, 16 kids with crissum and hand foot skin rash, 5 patients with hand foot herpes.

结果： 21例患者均有口腔疱疹、溃疡， 4例发热， 16例合并有肛周及手足皮疹， 5例合并有手足疱疹；诊断后除1例患儿转诊后方医院外，其余患儿均就地隔离治疗， 1周后痊愈，局部无手足口病的暴发流行。

Methods: turkish gall 1,turkish gall 2 were selected to experiment medicine and there medicines to streptococcus mutans atcc25175, actinomyces naeslundiiwvu627, actinomyces viscosus atcc19246 and lactobacillus rhamnosus ac413 were checked, to observed the change of glycose metabolism and acid metabolism.

选择4种与龋病密切相关的口腔细菌作为实验菌株，以没食子鞣质及其提取物2为实验药物，研究对口腔细菌产酸的影响；同时选择主要产糖菌变形链球菌和粘性放线菌为实验菌株，研究实验药物对其合成水不溶性胞外多糖能力的影响。

Objective To analyze the CT and MRI manifestations of oral carcinoma,and to evaluate the value of imaging technologies in the diagnosis of oral carcinoma,thus to explore the most reasonable imaging method Methods 46 cases with oral carcinoma,proved by surgery and pathology （2 lip tumors,8 carcinomas of the gingival ridge,5 carcinomas of the buccal mucosa,24 tongue carcinomas,5 carcinomas of the floor of the mouth,2 tumors of the hard palate）,were analysed retrospectively32 cases were examined with CT and 14 cases with MRIImaging presentations were compared with surgery and pathology Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowthOf the 32 cases examined with CT scan,27 were detected,5 were missed,the 4 missed cases were confirmed to be superficial ulcers by surgery and pathologyOf the 10 cases with bone destruction examined with CT scan,8 were manifested,2 were missedAnd of the 14 cases with MRI scan,all 14 were detected Conclusion CT and MRI scan are valuable for diagnosis of oral carcinomasThey can manifest the morphology and size of primary tumor,contiguous structures,bone invasion and cervical lymph node metastasisMRI is the optimal imaging method for superficial ulcerative lesion of infiltratibe growth

徐 锋，罗德红，唐威，欧阳汉，周纯武目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探索合理的影像学检查方法。方法回顾性分析经手术及病理证实的口腔癌46例（唇癌2例，牙龈癌8例，颊黏膜癌5例，舌癌24例，口底癌5例，硬腭癌2例），其中32例行CT扫描，14例行MRI扫描，将影像表现与手术所见及病理结果进行对照分析。结果 46例口腔癌中，呈浸润性生长的溃疡型病变22例，外生性生长的肿物型病变24例。CT扫描32例，明确显示病变27例，遗漏病变5例，其中4例为表浅溃疡型病变。CT扫描病例中，10例有骨质侵犯，CT扫描准确评价8例，遗漏2例。MRI扫描14例，均准确评价肿瘤及其与周围结构的关系。结论 CT、MRI对口腔癌原发肿瘤的形态、大小、周围结构侵犯、颈部淋巴结转移的评价有重要价值。对于较小及呈浸润性生长的表浅溃疡型肿瘤，CT扫描尤其是CT平扫难以准确显示，应首选MRI。

Objective To analyze the CT and MRI manifestations of oral carcinoma,and to evaluate the value of imaging technologies in the diagnosis of oral carcinoma,thus to explore the most reasonable imaging method Methods 46 cases with oral carcinoma,proved by surgery and pathology （2 lip tumors,8 carcinomas of the gingival ridge,5 carcinomas of the buccal mucosa,24 tongue carcinomas,5 carcinomas of the floor of the mouth,2 tumors of the hard palate）,were analysed retrospectively32 cases were examined with CT and 14 cases with MRIImaging presentations were compared with surgery and pathology Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowthOf the 32 cases examined with CT scan,27 were detected,5 were missed,the 4 missed cases were confirmed to be superficial ulcers by surgery and pathologyOf the 10 cases with bone destruction examined with CT scan,8 were manifested,2 were missedAnd of the 14 cases with MRI scan,all 14 were detected Conclusion CT and MRI scan are valuable for diagnosis of oral carcinomasThey can manifest the morphology and size of primary tumor,contiguous structures,bone invasion and cervical lymph node metastasisMRI is the optimal imaging method for superficial ulcerative lesion of infiltratibe growth

中华硕博网核心提示：徐锋，罗德红，唐威，欧阳汉，周纯武关键词：口腔肿瘤目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探徐锋，罗德红，唐威，欧阳汉，周纯武目的分析口腔癌的CT及MRI表现，评价影像检查在口腔癌诊断中的应用价值，探索合理的影像学检查方法。方法回顾性分析经手术及病理证实的口腔癌46例（唇癌2例，牙龈癌8例，颊黏膜癌5例，舌癌24例，口底癌5例，硬腭癌2例），其中32例行CT扫描，14例行MRI扫描，将影像表现与手术所见及病理结果进行对照分析。结果46例口腔癌中，呈浸润性生长的溃疡型病变22例，外生性生长的肿物型病变24例。CT扫描32例，明确显示病变27例，遗漏病变5例，其中4例为表浅溃疡型病变。CT扫描病例中，10例有骨质侵犯，CT扫描准确评价8例，遗漏2例。MRI扫描14例，均准确评价肿瘤及其与四周结构的关系。结论 CT、MRI对口腔癌原发肿瘤的形态、大小、四周结构侵犯、颈部淋巴结转移的评价有重要价值。对于较小及呈浸润性生长的表浅溃疡型肿瘤，CT扫描尤其是CT平扫难以准确显示，应首选MRI。

Oral Kaposi's sarcoma Kaposi's sarcoma, whether oral or extraoral in the mouth can be made one or more painless, purplish red or purple, of varying size, shape, flat or raised lesions, or plaques were porphyritic sheet that includes a capillary plexus, soft, similar to hemangioma, with moderate pain.

口腔卡波西肉瘤口腔卡波西肉瘤无论在口内或口外均可单发或多发无痛的、紫红或紫色的、大小形状不一的、扁平或隆起的病损，呈斑状或斑片状，其中含毛细血管丛，质软，类似血管瘤，有中度疼痛。

Part II The experiment study on anti-tumour effect of dendritic cells derived from peripheral blood monocyte of patients with oral cancer after pulsed by tumour antigen in different ways. Collected 50ml peripheral blood from each patients and volunteers to induced DC in vitro. We parted the test group and control group into three subgroups respectively, untreated group A, freezed and thawn group B, RNA transfected group C. To group A, after induced DCs for five days , we added 200U/mlTNF-α in each hole and cultured on. To group B, we added protein antigen (DC/ tumor cells = 1 : 1 ,each hole) for 4h at 5d, and then added 200U/mlTNF-α in each hole and cultured on. To group C, transfected immature DC with tumor cell RNA(DC:RNA=1×105/ml: 5ug)at 5d, operated completely with the specification of invitrogen DMRIE-C reagents. After transfection we replaced transfection agent with complete medium, and then added 200U/mlTNF-α in each hole and cultured on.

第二部分口腔癌患者外周血来源的树突状细胞体外负载抗原后抑瘤作用的实验研究无菌采集20例口腔癌患者和20例健康志愿者外周血50ml，分离单个核细胞体外诱导培养DC，并将实验组和对照组细胞各分为三组，A组为未处理组，B组为冻融组，C组为RNA转染组。A组DC在培养5d后，每孔加入TNF-α200U/ml；B组DC培养第5d后，每孔中加入癌细胞蛋白抗原，使DC/肿瘤细胞=1：1，继续培养4h后，每孔加入TNF-α200U/ml；C组将培养至第5d的未成熟DC用肿瘤细胞RNA进行转染(DC：RNA=1×105/ml： 5ug，按照invitrogen DMRIE-C试剂说明书进行操作)，转染结束后用完全培基取代转染剂，每孔加入TNF-α200U/ml。

The retromolar trigone squamous cell carcinoma tends to develop loco-regional recurrence.

口腔癌的局部区域复发与肿瘤期别，及淋巴囊外扩散有关。

Methods insert the stomach tube nasal cavity, with the help of intubating ferceps, take the stomach tube out of mouth cavity from the posterior wall of dysphagia, insert trachea catheter (cid 7.0~7.5) to esophagus, under the help of trachea catheter, insert the stomach tube to esophagus then take the trachea catheter out of the esophagus and vertical, cutting off, in the course of into esophagus.

经鼻腔插入胃管，用插管钳将胃管从咽后壁前取出口腔外，用id 7.0～7.5的气管导管插入食管，在气管导管诱导下将胃管经气管导管插入食管，然后将胃管向食管内送进，同时将气管导管退出，将胃管置入相当合适的深度后，固定胃管。

These activities include outreaching programmes delivered through an Oral Health Education Bus and target-specific programmes delivered through maternal and child health centres, kindergartens and pre-school centres to more than 190 000 pre-schoolers every year.

这些活动包括&口腔健康教育巴士&所提供的外展口腔健康教育服务，以及母婴健康院、幼稚园和学前服务中心每年为超过19万名学前儿童提供的儿童口腔健康教育服务。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。