皮膚鏡及反射式共聚焦顯微鏡對皮膚基底細胞癌的診斷效果

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[摘 要]目的 探討皮膚鏡及反射式共聚焦顯微鏡（RCM）檢查在皮膚基底細胞癌（BCC）診斷中的應用價值。方法 選擇徐州醫(yī)科大學附屬徐州市立醫(yī)院皮膚科門診就診的50例擬診為BCC的患者作為研究對象，均進行皮膚鏡、RCM檢查診斷，之后進行組織病理學檢查確診，觀察診斷效果。結果 聯(lián)合檢測方式診斷靈敏度、特異度及符合率均高于單一應用皮膚鏡、RCM檢測，皮膚鏡診斷符合率低于兩者聯(lián)合檢測，RCM診斷符合率低于兩者聯(lián)合檢測，差異有統(tǒng)計學意義（P

[關鍵詞] 皮膚基底細胞癌；皮膚鏡；RCM

[中圖分類號] R739.5 [文獻標識碼] A [文章編號] 1004-4949（2024）21-0054-04

基金項目：1.徐州醫(yī)科大學附屬醫(yī)院發(fā)展基金面上項目（編號：XYFM2020040）；2.徐州市衛(wèi)生健康委員會青年醫(yī)學科技創(chuàng)新項目（編號：XWKYHT20210570）

Diagnostic Effect of Dermoscopy and Reflective Confocal Microscopy on Basal Cell Carcinoma of Skin

LI Yaxi1， MA Jie2

（1.Department of Dermatology， the Second Affiliated Hospital of Xuzhou Medical University， Xuzhou 221002， Jiangsu， China； 2.Department of Dermatology， Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University， Xuzhou 221002， Jiangsu， China）

[Abstract]Objective To explore the application value of dermoscopy and reflective confocal microscopy （RCM） in the diagnosis of basal cell carcinoma （BCC）. Methods A total of 50 patients who were diagnosed as BCC in the Department of Dermatology， Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University were selected as the research objects. All patients were diagnosed by dermoscopy and RCM， and then confirmed by histopathological examination. The diagnostic effect was observed.Results The diagnostic sensitivity， specificity and coincidence rate of the combined detection method were higher than those of the single application of dermoscopy and RCM detection， the diagnostic coincidence rate of dermoscopy was lower than that of the combined detection， and the diagnostic coincidence rate of RCM was lower than that of the combined detection， the difference was statistically significant （P

[Key words] Basal cell carcinoma of skin； Dermatoscope； RCM

基底細胞癌（basal cell carcinoma， BCC），又稱基底細胞上皮瘤，是皮膚惡性腫瘤中最為常見的一種類型，大約占據(jù)了非黑素細胞皮膚癌的80%。（剩余5302字）