214例患者经临床及活检确诊为口腔扁平苔藓,初诊时分为网纹型、萎缩伴网纹型、萎缩型的粘膜溃疡,镜检无一例表现为发育异常。所有患者至少临床追踪6月,给予局部或(和)全身治疗。初次治疗包括氟新诺龙油剂配等量Orabase糊剂(每日5～10次)局涂或口服强的松(20mg,每日2～3次),2周内复诊。此时可以:①全身用强的松少于2周,局部使用氟新诺龙糊剂,或②当病损严重而患者对大剂量强的松耐受性低,可在 214 patients were diagnosed as oral lichen planus by clinical and biopsy. At the time of first visit, they were divided into reticulate, atrophic and antrophic mucosal ulcer, and none of them showed dysplasia. All patients were at least clinically tracked for June and given topical (or systemic) treatment. The initial treatment includes Fluorosorbide oil with the same amount of Orabase paste (5 to 10 times daily) prednisone or oral administration (20mg, 2 or 3 times a day), 2 weeks referral. At this point you can: ① systemic prednisone less than 2 weeks, topical use of flunacleolon paste, or ② when the lesion is serious and patients with high doses of prednisone is low, can be