皮肤镜及反射式共聚焦显微镜对皮肤基底细胞癌的诊断效果

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[摘 要]目的 探讨皮肤镜及反射式共聚焦显微镜（RCM）检查在皮肤基底细胞癌（BCC）诊断中的应用价值。方法 选择徐州医科大学附属徐州市立医院皮肤科门诊就诊的50例拟诊为BCC的患者作为研究对象，均进行皮肤镜、RCM检查诊断，之后进行组织病理学检查确诊，观察诊断效果。结果 联合检测方式诊断灵敏度、特异度及符合率均高于单一应用皮肤镜、RCM检测，皮肤镜诊断符合率低于两者联合检测，RCM诊断符合率低于两者联合检测，差异有统计学意义（P

[关键词] 皮肤基底细胞癌；皮肤镜；RCM

[中图分类号] R739.5 [文献标识码] A [文章编号] 1004-4949（2024）21-0054-04

基金项目：1.徐州医科大学附属医院发展基金面上项目（编号：XYFM2020040）；2.徐州市卫生健康委员会青年医学科技创新项目（编号：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

基底细胞癌（basal cell carcinoma， BCC），又称基底细胞上皮瘤，是皮肤恶性肿瘤中最为常见的一种类型，大约占据了非黑素细胞皮肤癌的80%。（剩余5302字）