口腔癌合并全身系统性疾病患者的多学科协作诊疗模式专家共识

doi:10.7518/hxkq.2020.06.001

华西口腔医学杂志 ›› 2020, Vol. 38 ›› Issue (6): 603-615.doi: 10.7518/hxkq.2020.06.001

• 专家共识 • 下一篇

口腔癌合并全身系统性疾病患者的多学科协作诊疗模式专家共识

张东升¹(), 郑家伟², 张陈平², 蔡志刚³, 李龙江⁴, 廖贵清⁵, 尚政军⁶, 孙沫逸⁷, 韩正学⁸, 尚伟⁹, 孟箭¹⁰, 龚忠诚¹¹, 黄圣运¹

1.山东第一医科大学附属省立医院口腔颌面外科,济南 250012
2.上海交通大学附属第九人民医院口腔颌面-头颈肿瘤科,上海 200011
3.北京大学口腔医学院口腔颌面外科,北京 100081
4.口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院头颈肿瘤外科,成都 610041
5.中山大学附属口腔医院口腔颌面外科,广州 510120
6.武汉大学口腔医院口腔颌面外科,武汉 430070
7.空军军医大学第三附属医院口腔颌面外科,西安 710032
8.首都医科大学附属北京口腔医院头颈肿瘤科,北京 100050
9.青岛大学附属医院口腔颌面外科,青岛 266003
10.徐州市中心医院口腔科,徐州 221009
11.新疆医科大学第一附属医院口腔颌面外科,乌鲁木齐 830054

收稿日期:2020-04-19 修回日期:2020-06-10 出版日期:2020-12-01 发布日期:2020-12-07
通讯作者: 张东升 E-mail:ds63zhang@sdu.edu.cn
作者简介:张东升,教授,博士,E-mail：ds63zhang@sdu.edu.cn现任山东第一医科大学口腔医学院院长,山东省立口腔医院院长,口腔颌面外科学科带头人,澳大利亚阿德莱德大学牙学院访问学者,美国哈佛大学牙学院访问学者,中华口腔医学会颌面外科专业委员会常委,中华口腔医学会全科口腔医学专业委员会常委,中华口腔医学会口腔颌面-头颈肿瘤专业委员会常委,国际牙医师学院院士,山东省医学会口腔分会主任委员,山东省口腔医学会副会长,山东省医师协会口腔颌面外科分会主任委员,中国医师协会口腔分会委员,中国整形美容协会理事,中国整形美容协会颅颌颜面分会副会长,《中国口腔颌面外科杂志》编委,《华西口腔医学杂志》编委,《山东大学学报（医学版）》审稿人,山东省卫生厅“1020工程”中青年重点科技人才,山东省医师协会口腔分会副主任委员,山东省执业医师实践技能考试口腔医师首席考官。擅长口腔颌面部恶性肿瘤的综合序列治疗,口腔颌面部缺损的功能和外形整复,口腔颌面部外伤整形,颌面整形与美容修复,各类牙缺失的种植修复与颅颌面种植,血管瘤与三叉神经痛的诊断与治疗,口腔颌面外科其他各类疑难重症及急危症病例的诊疗。承担省级及以上科研项目10项,其中国家自然科学基金3项。获山东省科技进步奖2项,医学科技进步奖2项。发表专业论文39篇,其中SCI论文20余篇。出版著作《现代头颈肿瘤临床与病理》（主编）、《实用口腔颌面外科手术学彩色图谱》（副主编）。
基金资助:
国家自然科学基金(81901022);国家自然科学基金(81470755);国家自然科学基金(81771087)

Multidisciplinary team model for patients with oral cancer and systemic diseases: an expert consensus

Zhang Dongsheng¹(), Zheng Jiawei², Zhang Chenping², Cai Zhigang³, Li Longjiang⁴, Liao Guiqing⁵, Shang Zhengjun⁶, Sun Moyi⁷, Han Zhengxue⁸, Shang Wei⁹, Meng Jian¹⁰, Gong Zhongcheng¹¹, Huang Shengyun¹

1. Dept. of Oral and Maxillofacial Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250012, China
2. Dept. of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
3. Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Peking University, Beijing 100081, China
4. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
5. Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510120, China
6. Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430070, China
7. Dept. of Oral and Maxillofacial Surgery, The Third Affiliated Hospital, Air Force Medical University, Xi’an 710032, China
8. Dept. of Head and Neck Oncology Surgery, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China
9. Dept. of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266003, China
10. Dept. of Stomatology, Xuzhou Central Hospital, Xuzhou 221009, China
11. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China

Received:2020-04-19 Revised:2020-06-10 Online:2020-12-01 Published:2020-12-07
Contact: Zhang Dongsheng E-mail:ds63zhang@sdu.edu.cn
Supported by:
The National Natural Science 入Foundation of China(81901022);The National Natural Science 入Foundation of China(81470755);The National Natural Science 入Foundation of China(81771087)

摘要/Abstract

摘要：

近年来,随着双向转诊、分级诊疗和医联体的建立,大型综合医院承担急危重症和疑难疾病诊疗的功能定位日益凸显,来诊的口腔癌患者常伴有全身情况复杂的系统性疾病,传统的单一诊疗模式难以达到医疗需求。为此,多学科协作诊疗（MDT）模式应运而生并在实践中应用,取得了良好的临床效果。为了进一步规范口腔癌患者的MDT,组织专家制订了本专家共识,对诊疗流程、常见系统性疾病的诊治等给出了规范化建议,供临床医师参考。

关键词: 口腔癌, 多学科协作诊疗, 系统性疾病, 专家共识

Abstract:

Large general hospitals currently play an increasingly important role in the diagnosis and treatment for acute critical patients and difficult diseases because of the development of dual referral system and hierarchical diagnosis, as well as the formation of medical treatment alliance. Patients with oral cancers are often associated with systemic diseases, which increases the complexity of the condition. Thus, meeting the demand through the traditional single medical model is difficult. As such, a multidisciplinary team (MDT) model has been proposed and has achieved a good clinical effect. To standardize the application of this model, we organized an event in which relevant experts discussed and formulated a consensus to provide standardized suggestions on the MDT process and the diagnosis and treatment of common systemic diseases as reference for clinical practice.

Key words: oral cancer, multidisciplinary team, systemic disease, expert consensus

中图分类号:

R739.8

张东升, 郑家伟, 张陈平, 蔡志刚, 李龙江, 廖贵清, 尚政军, 孙沫逸, 韩正学, 尚伟, 孟箭, 龚忠诚, 黄圣运. 口腔癌合并全身系统性疾病患者的多学科协作诊疗模式专家共识[J]. 华西口腔医学杂志, 2020, 38(6): 603-615.

Zhang Dongsheng, Zheng Jiawei, Zhang Chenping, Cai Zhigang, Li Longjiang, Liao Guiqing, Shang Zhengjun, Sun Moyi, Han Zhengxue, Shang Wei, Meng Jian, Gong Zhongcheng, Huang Shengyun. Multidisciplinary team model for patients with oral cancer and systemic diseases: an expert consensus[J]. West China Journal of Stomatology, 2020, 38(6): 603-615.

图/表 2

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口腔癌合并全身系统性疾病患者的多学科协作诊疗模式专家共识

Multidisciplinary team model for patients with oral cancer and systemic diseases: an expert consensus

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