臨牀透析 Vol.18 No.12(2-1)


特集名 透析患者における消化管異常
題名 顎・口腔領域の異常
発刊年月 2002年 11月
著者 畔田 貢 日鋼記念病院歯科口腔外科
【 要旨 】 透析患者は免疫能の低下により感染症を生じやすく,とくに口腔内は歯肉炎,歯周炎などを併発しやすい.さらに口腔乾燥症,口腔カンジダ症,歯肉出血などの口腔内異常を伴っていることが多い.
二次性副甲状腺機能亢進症患者のオルソパントモX線写真は,特徴的な所見が得られるので,評価するうえで有用である.
透析患者の口腔内はさまざまな変化を伴っているので,口腔の健康状態を維持することで合併症を予防していくことが重要である.
Theme Gastrointestinal Complications in Dialysis Patients
Title Abnormalities of oral and maxillofacial region -- intra-oral abnormalities, abnormalities of teeth (mandible), abnormalities of salivary glands
Author Mitsugu Kuroda Department of Oral Surgery, Nikko Memorial Hospital
[ Summary ] Because of the reduced immunocapacity of dialysis patients, infectious diseases are more likely to occur, especially intra-orally, with gingivitis, periodontitis, etc. frequently developing. Furthermore, these are accompanied in many cases by intra-oral abnormalities such as dry mouth, candidiasis, gingival bleeding, etc. Special characteristics can be found in the panoramic radiographs of secondary hyperthyroidism patients, which are useful in evaluation. As numerous oral conditions may occur in dialysis patients, maintain oral health is important the prevention of oral complications to.
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