[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f6TKcgTmcubC3h9NahA5N_jaq2FqtuLaDPo3fJf94fsk":3,"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":11,"$foZWvLCA5wPcXZBsQfJL-_bcNtWXo2ngS-xK2924PA8Q":15,"$f99acG4Pgfa3m5rGSpZ-q4cgBM0iXWLRecC5GH6mKzo0":21,"$f8sAuoU6X7jjookdxAiBx3P6RBGhZv_jfpNAwJb6uJWI":63,"$fq02ovO1o9do-FevrAoAqVvd-4zQnKu1Hh-d4EvjVKIA":641},{"code":4,"msg":5,"message":6,"data":7,"success":10},200,"操作成功",null,{"authors":8,"appraiseDimensionScoresVos":9},[],[],true,{"code":12,"msg":13,"message":6,"data":6,"success":14},401,"认证失败，无法访问系统资源",false,{"code":4,"msg":5,"message":6,"data":16,"success":10},{"pageNo":17,"pageSize":18,"result":19,"totalSize":20},1,10,[],0,{"code":4,"msg":5,"message":6,"data":22,"success":10},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"hospital":28,"department":29,"postsTitle":30,"materialTotal":31,"videoTotal":20,"isConcern":14,"title":32,"coverVertical":33,"coverAcross":34,"content":35,"description":36,"views":37,"likes":20,"isThumbsUp":14,"isCollection":14,"collections":20,"createTime":38,"seoTitle":32,"seoKeywords":39,"seoDescription":40,"shelvesTime":41,"version":42,"menus":43,"menuId":45,"type":17,"quality":62,"commentCount":20,"isComment":17},88325,995560,[],"https://ystcdn.venuertc.com/venue/app/48273/2026-07-09/925b4580-a349-4be4-9da3-83d4a49c2cfb.png","严鹏伟","江苏省肿瘤医院","放射科","副主任医师",7,"牙龈癌，你需要知道的那些事","","https://ystcdn.venuertc.com/venue/AI/56cff36f-958e-417c-9c67-d73c2ce39260.jpg","\u003Cdiv class=\"gumcancer-container\">\n  \u003Ch1 id=\"material_title\" class=\"gumcancer-title\">\n    牙龈癌，你需要知道的那些事\n    \u003Cspan class=\"gumcancer-emoji\">🦷\u003C/span>\n  \u003C/h1>\n\n  \u003Cdiv class=\"gumcancer-section gumcancer-bg1\">\n    \u003Ch2 class=\"gumcancer-subtitle\">\n      01 什么是牙龈癌？\n      \u003Cspan class=\"gumcancer-emoji\">🔬\u003C/span>\n    \u003C/h2>\n    \u003Cdiv class=\"gumcancer-content\">\n      \u003Cp>\n        很多人只觉得刷牙流血、牙龈肿痛是小事，通常会归因于\"上火\"或者没休息好。但其实，有一种口腔里的病变比我们以为的更隐蔽，就是牙龈癌。它通常出现在牙龈上，无声无息地形成肿块或溃疡。一旦被发现，往往已经不小了。有时候肿块表面看起来只是红点或者白斑，但肿瘤细胞却可能已经悄悄扩展到骨头里。这时，借助放射科的检查，比如口腔CT或者MRI，医生能清楚判断癌肿侵入了多大范围、深入了哪些位置，让后续治疗有明确方向。\n      \u003C/p>\n      \u003Cp>\n        一位66岁的女性，因牙龈肿物被确诊为高-中分化鳞癌，且肿瘤已穿透骨组织。这个病例说明，牙龈癌往往在\"隐形\"阶段进展十分迅速。即便体检和其他表现一切正常，病变也可能已经很麻烦。所以，任何口腔中持续不消的异常，都应请专业医生仔细评估。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"gumcancer-section gumcancer-bg2\">\n    \u003Ch2 class=\"gumcancer-subtitle\">\n      02 牙龈癌的症状如何识别？\n      \u003Cspan class=\"gumcancer-emoji\">❗\u003C/span>\n    \u003C/h2>\n    \u003Cdiv class=\"gumcancer-content\">\n      \u003Cul class=\"gumcancer-list\">\n        \u003Cli>\n          \u003Cstrong>1. 轻微不适期：\u003C/strong>\n          早期牙龈癌有点像\"隐居的邻居\"，存在感极低。偶尔伴有牙龈轻度肿胀、局部触摸微微刺痛，有时还可能出现牙龈表面一点点的发白或发红。大多数人会忽略掉这些早期变化，误以为只是普通炎症。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>2. 明显症状期：\u003C/strong>\n          发展到后期时，牙龈肿物变大，开始产生持续的钝痛，并且肿物表面可能出现溃烂。牙龈容易出血，咬硬物时明显疼痛，甚至牙齿松动。若有骨组织受侵，咀嚼、说话都成为难事。就像前面提及的患者，等到肿痛加重才引起重视，此时肿瘤范围可能已较广。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>3. 伴随体征：\u003C/strong>\n          一些病人还会出现面部肿胀、淋巴结增大，但并不普遍。更多人表现为\"局部性\"的不适。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        每个人的症状轻重不一，如果发现上述现象持续两周以上没改善，不要犹豫，尽早就医。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"gumcancer-section gumcancer-bg3\">\n    \u003Ch2 class=\"gumcancer-subtitle\">\n      03 牙龈癌的致病原因有哪些？\n      \u003Cspan class=\"gumcancer-emoji\">🔎\u003C/span>\n    \u003C/h2>\n    \u003Cdiv class=\"gumcancer-content\">\n      \u003Cp>\n        说到为什么会患上牙龈癌，不只是\"中年以后\"才要关注。实际上，多个研究表明，生活细节和基因共同决定着风险。\u003Cspan class=\"gumcancer-emoji\">🧬\u003C/span>\n      \u003C/p>\n      \u003Cul class=\"gumcancer-list\">\n        \u003Cli>\n          \u003Cstrong>口腔卫生问题：\u003C/strong>\n          长期牙周炎、牙石和牙菌斑堆积，容易让牙龈长期处于慢性炎症状态，局部组织反复被破坏更容易出现不正常的细胞变异发展成癌。这种慢性刺激对年纪大的群体尤其不友好。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>吸烟和饮酒：\u003C/strong>\n          烟草成分直接损伤口腔黏膜，长期吸烟可使口腔癌风险明显提升。饮酒则会加强有害物质的吸收，两者叠加危害更大。（参考：Warnakulasuriya S. \"Global epidemiology of oral and oropharyngeal cancer.\" Oral Oncology, 2009）\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>病毒感染：\u003C/strong>\n          人乳头瘤病毒（HPV）高危型别，也会让口腔黏膜细胞更容易癌变。持续感染和免疫力低下人群要特别关注这点。（参考：Gillison, M. L. et al. \"Evidence for a causal association between human papillomavirus and a subset of head and neck cancers.\" Journal of the National Cancer Institute, 2000）\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>年龄与遗传：\u003C/strong>\n          随着年龄增加，机体自我修复和免疫监控能力下降；有家族史的人，患病概率也会高不少。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        眼下牙龈癌患病人数虽不算多，却因它\"\"隐藏+变化快\"\"的特点，许多患者就诊时已错过最佳时机。\u003Cspan class=\"gumcancer-emoji\">⏱️\u003C/span>\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"gumcancer-section gumcancer-bg4\">\n    \u003Ch2 class=\"gumcancer-subtitle\">\n      04 牙龈癌的诊断流程是怎样的？\n      \u003Cspan class=\"gumcancer-emoji\">🩺\u003C/span>\n    \u003C/h2>\n    \u003Cdiv class=\"gumcancer-content\">\n      \u003Col class=\"gumcancer-list\">\n        \u003Cli>\n          \u003Cstrong>1. 临床检查：\u003C/strong>\n          牙医会首先询问牙龈肿物、溃疡的持续时间、疼痛感等，再用手和工具仔细观察肿物形态，包括范围、质地、表面的变化等。很多时候，这一步能帮医生对良恶性有初步印象。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>2. 放射科检查：\u003C/strong>\n          放射影像在牙龈癌评估中挺重要。口腔CT可以快速判断肿瘤是否侵犯下颌骨以及周边软组织，比如前述66岁女性的病例中，正是借助这些影像学资料才发现癌肿及其周边扩展范围。MRI则更适合评估软组织损伤。局部拍片和全景片也能帮助医生发现一些隐蔽的扩散点。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>3. 病理学检查：\u003C/strong>\n          如果影像提示可疑，医生会安排活检，即取少量肿块组织送病理室，在显微镜下看肿瘤类型、高低分化和浸润深度。这一步是确诊牙龈癌的\"金标准\"。\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>\n        诊断流程似乎复杂，其实每一步都很重要。有条件的话，最好在专业的口腔专科或肿瘤中心求医，因为这里的医生更有经验，设备相对齐全，可以减少误诊风险。（参考：Lingen MW et al. \"Critical evaluation of diagnostic aids for the detection of oral cancer.\" Oral Oncology, 2008）\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"gumcancer-section gumcancer-bg5\">\n    \u003Ch2 class=\"gumcancer-subtitle\">\n      05 牙龈癌的治疗方案有哪些？\n      \u003Cspan class=\"gumcancer-emoji\">🏥\u003C/span>\n    \u003C/h2>\n    \u003Cdiv class=\"gumcancer-content\">\n      \u003Cp>\n        牙龈癌治疗方式不少，如何组合选择，要看肿瘤位置、大小、浸润深度和患者整体身体状况。\n      \u003C/p>\n      \u003Cul class=\"gumcancer-list\">\n        \u003Cli>\n          \u003Cstrong>手术切除：\u003C/strong>\n          适用于早期和部分局部发展癌肿，切除病灶、部分下颌骨甚至周边受累淋巴结，是多数患者的首选路线。案例中的那位女性就做了\"扩大切除+下颌骨截骨+颈部淋巴结清扫\"联合手术，术后一般通过病理复查确保切除干净。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>放射治疗：\u003C/strong>\n          对于手术难以清除或局部复发的牙龈癌，放疗是重要辅助或主要方案。同步开展影像扫描有助监测疗效，比如放疗期间会反复做CT，观察肿瘤缩小情况，及时调整治疗方式。（参考：Pignon JP et al. \"Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): an update.\" International Journal of Radiation Oncology, Biology, Physics, 2007）\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>化学治疗：\u003C/strong>\n          针对晚期、转移或者多处侵润患者，化疗多与手术/放疗结合，增强整体疗效。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>综合支持治疗：\u003C/strong>\n          包含疼痛管理、营养干预和心理疏导，有利于患者顺利度过治疗阶段。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        牙龈癌虽说有多种治疗方案，但每一种都要结合实际病情量身定制。定期进行放射科复查，随时掌握疾病动态，能让治疗更有针对性，提升康复几率。\u003Cspan class=\"gumcancer-emoji\">✅\u003C/span>\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"gumcancer-section gumcancer-bg6\">\n    \u003Ch2 class=\"gumcancer-subtitle\">\n      06 如何进行日常管理和生活指导以应对牙龈癌？\n      \u003Cspan class=\"gumcancer-emoji\">🍽️\u003C/span>\n    \u003C/h2>\n    \u003Cdiv class=\"gumcancer-content\">\n      \u003Cul class=\"gumcancer-list\">\n        \u003Cli>\n          \u003Cstrong>1. 坚持良好的口腔清洁习惯：\u003C/strong> \n          \u003Cspan class=\"gumcancer-tip\">每天早晚刷牙，使用牙线/牙间刷，定期请口腔科专业人士帮助清洁。有效清除牙菌斑，有助于减少慢性炎症源头。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>2. 选择均衡饮食：\u003C/strong>\n          \u003Cspan class=\"gumcancer-tip\">\n            新鲜蔬果（如蓝莓、胡萝卜、西蓝花）\u003Cspan class=\"gumcancer-emoji\">🍎🥦\u003C/span>富含抗氧化物，帮助修复口腔黏膜。全谷物和高蛋白食物有助于增强体能，为身体自愈提供原料。建议一日三餐规律进食，每餐有蔬有肉，有软有硬，咀嚼舒适为宜。\n            \u003Cbr>\u003Cbr>\n            举个例子，早餐可以选择全麦面包加煮蛋，午餐则多吃些蒸煮蔬菜，晚上可选些容易下咽的鱼或豆腐。\n          \u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>3. 定期口腔检查：\u003C/strong>\n          \u003Cspan class=\"gumcancer-tip\">\n            没有明显症状时也别放松警惕，每年做1-2次口腔检查。有牙齿修复或种植体、更要按时复查。医生可通过放射影像早早锁定可疑病变。\n          \u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>4. 适度运动、保持良好作息：\u003C/strong>\n          \u003Cspan class=\"gumcancer-tip\">\n            坚持运动、科学生活有助于免疫系统健康，也利于机体对疾病的防御和修复。\n          \u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>5. 心理支持很关键：\u003C/strong>\n          \u003Cspan class=\"gumcancer-tip\">\n            接受癌症诊断后，难免焦虑、压抑，必要时向专业心理人员寻求帮助，加入患者互助小组也是不错的选项。轻松情绪有助身体恢复。\n          \u003C/span>\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        如果出现口腔长期不明原因肿块、反复破溃或牙齿松动，最好预约有放射影像装备的医院检查。不确定哪个科室？问一句\"有无口腔CT或者MRI\"，就能判断这个医疗机构能否为你精确诊断提供必要支持。\n      \u003C/p>\n      \u003Cp>\n        最后，健康的生活本身就是最好的保护伞。饮食多元、作息规律、心情平和，能帮忙降低许多慢性疾病和肿瘤的风险。\u003Cspan class=\"gumcancer-emoji\">🛡️\u003C/span>\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"gumcancer-reference\">\n    \u003Ch3 class=\"gumcancer-ref-title\">主要参考文献\u003C/h3>\n    \u003Cul class=\"gumcancer-ref-list\">\n      \u003Cli>\n        Warnakulasuriya S. (2009). Global epidemiology of oral and oropharyngeal cancer. \u003Cem>Oral Oncology, 45\u003C/em>(4), 309-316.\n      \u003C/li>\n      \u003Cli>\n        Gillison, M. L., Koch, W. M., Capone, R. B., Spafford, M., Westra, W. H., Wu, L., ... & Sidransky, D. (2000). Evidence for a causal association between human papillomavirus and a subset of head and neck cancers. \u003Cem>Journal of the National Cancer Institute, 92\u003C/em>(9), 709-720.\n      \u003C/li>\n      \u003Cli>\n        Lingen MW, Kalmar JR, Karrison T, Speight PM. (2008). Critical evaluation of diagnostic aids for the detection of oral cancer. \u003Cem>Oral Oncology, 44\u003C/em>(1), 10-22.\n      \u003C/li>\n      \u003Cli>\n        Pignon JP, le Maître A, Maillard E, Bourhis J. (2007). Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): an update on 93 randomised trials and 17,346 patients. \u003Cem>International Journal of Radiation Oncology, Biology, Physics, 69\u003C/em>(2), S112.\n      \u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.gumcancer-container {\n  max-width: 800px;\n  margin: 0 auto;\n  font-family: \"Microsoft YaHei\", Arial, sans-serif;\n  padding: 32px 20px 28px 20px;\n  background: #faf7f6;\n}\n.gumcancer-title {\n  font-size: 2.4rem;\n  color: #31475e;\n  margin: 0 0 18px 0;\n  font-weight: 600;\n  text-align: center;\n  letter-spacing: 1.5px;\n  position: relative;\n  z-index: 2;\n}\n.gumcancer-emoji {\n  margin-left: 8px;\n  vertical-align: middle;\n}\n.gumcancer-section {\n  margin-bottom: 34px;\n  border-radius: 18px;\n  padding: 26px 22px 24px 22px;\n  box-shadow: 0 3px 12px rgba(203, 203, 190, 0.10);\n  position: relative;\n  background-repeat: no-repeat;\n  background-position: top right;\n  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