주요 악성종양 입원환자에서 구강합병증 관리에 관한 임상적 연구

Abstract

This is a retrospective study on the care of oral complications in the admission patients with major malignant tumors. The study was based on a series of 376 patients treated at Dong San Medical Center, Wonju Christian Hospital and Il San Health Insurance Hospital, from Jan. 1, 2000, to Dec. 31, 2002. The malignant tumor of lung and bronchus was the most frequent incidence and the tumor of stomach, liver and biliary tract, rectum and colon were next in order of frequency. But, there was the most frequent dental consultation in the malignant tumor of head and neck, owing to the many oral diseases. Male prediction (69.7%) was existed in the admission patients with major malignant tumors and oral diseases. The most common age group of the admission patients with the malignant tumors and oral diseases was the sixty decade(29.8%), followed by the fifty, forty & seventy decade in order. In the content of chief complaints on the admission patients with major malignant tumors and oral complications, peak incidence was occurred as toothache (33.2%), followed by mucosal pain, mastication difficulty, dental extraction, oral bleeding in order. In the diagnosis group of oral complications in the patients with the malignant tumors, periodontitis, pulpitis, mucositis and xerostomia were more common. In the treatment group of oral complications in the patients, the most frequent incidence(32.6%) was showed in primary endodontic drainage(pulp extirpation, occlusal reduction and canal opening drainage) and followed by incision and drainage, scaling, medications & oral hygiene instruction, continuous oral dressing in order