口腔癌筛检ppt课件.pptVIP

口腔癌篩檢(口腔黏膜健康檢查、口腔黏膜病變篩檢)—基本觀念與現場實技—;疾病預防之分類;1.初段預防;2.二段預防;3.三段預防;;口腔癌篩檢的合理性;篩檢之分類;1.ㄧ般民眾型篩檢(population screening);2.標靶型篩檢(targeting screening);3.隨機型篩檢(opportunistic screening);Lim, Moles, et al:Opportunistic Screening for Oral Cancer andPrecancer in General Dental Practice;?;篩檢基本原則;口腔癌篩檢潛在的好處;口腔癌篩檢可能的缺失;手術的基本要件(Basic necessities，可應用於口腔癌篩檢現場);檢查者/受檢者姿勢;NOTE : This is a bad example !;NOTE : This is a bad example !;;;A PRACTICAL TECHNIQUE OF SCREENING FOR ORAL CANCER（SUMMARY）;Current and conventional method of screening for oral cancer in Taiwan;Disadvantages of such conventional methods;Correct and practical method of screening for oral cancer;4 Functions of the mouth mirror;“Palpation” with a mouth mirror;Advantages of 2-mirror technique of screening for oral cancer by supine position;A simplified method of screening for oral cancer (Hahn’s method);躺臥式口腔癌篩檢的好處;口腔癌篩檢需準備器械、物品;Two Mouth Mirrors在篩檢時的功能－2 Mirror Technique;口腔黏膜檢查紀錄表/單;;§口腔黏膜細部區分 (1) 1.Vermilion border ― upper (1), lower (2) 口唇(唇紅部)－上、下 2.Labial commissures ― right (3), left (4) 唇聯合－右、左 3.Labial mucosa ― upper (5), lower (6) 唇黏膜－上、下 ;§口腔黏膜細部區分 (2) 8.Posterior gingiva and alveolar ridge (process) buccally 後牙頰側牙齦及齒槽堤 Upper gingiva or edentulous alveolar ridge buccally ― right (15), left (16) 上右、上左 Lower gingiva or edentulous alveolar ridge buccally ― right (17), left (18) 下右、下左 9.Anterior gingiva and alveolar ridge (process) labially: 前牙唇側牙齦及齒槽堤－上、下Upper (19)Lower (20) ;§口腔黏膜細部區分 (3) 10. Posterior gingiva and alveolar ridge (process) palatally and lingually後牙腭側或舌側牙齦及齒槽堤－上右、上左、下右、下左Upper ― right (21), left (22)Lower ― right (23), left (24) 11. Anterior gingiva and alveolar ridge (process) palatally and lingually, palatally (25) and lingually (26)前牙腭側或舌側牙齦及齒槽堤－腭側、舌側 12. Dorsum (dorsal surface)of the tongue ― right (27), left (28)舌背－右、左 ;§口腔黏膜細部區分 (4) 13. Base of the tongue ― right (29), left (30)舌根－右、左 14.