基底细胞癌的皮肤镜表现与病理类型的相关性研究  

Dermatoscope performance in basal cell carcinoma and correlation research with histopathological changes

作　　者：赵森[1] 李丽[2] 郭书萍[2] ZHAO Sen;LI Li;GUO Shu-ping(Shanxi medical university,shanxi taiyuan 030000,China;First hospital of shanxi medical university,shanxi taiyuan 030000,China)

机构地区：[1]山西医科大学,山西太原030000 [2]山西医科大学第一医院,山西太原030000

出　　处：《临床医药文献电子杂志》2018年第26期17-18,34,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨基底细胞癌的皮肤镜表现与其病理改变的关系。方法选取我院2016年5月~2017年11月收治的拟诊为基底细胞癌的51例患者分别使用电子皮肤镜检查诊断及病理活检确诊并分型,对诊断结果及分型结果进行回顾性分析。结果与病理诊断比较,皮肤镜诊断的灵敏度为97.44%,特异度为83.33%,总符合率为94.12%,误诊率16.67%,漏诊率2.56%,Youden指数0.808,Kappa值0.832,皮肤镜下四组不同类型对应的常见病理类型不同,差异有统计学意义(P<0.05),将四组进行两两比较,任意两组间比较;差异有统计学意义(P<0.05)。结论皮肤镜检查提高了基底细胞癌的临床诊断准确率。不同类型的基底细胞癌的皮肤镜表现对应的常见病理类型不同。Objective To investigate the relationships between dermoscopic of different manifestations of pathological types.Methods In the 51 patients who were diagnosed as basal cell carcinoma in our hospital from May 2016 to November 2017,the diagnosis and pathological biopsy were confirmed by electronic dermatoscopy.Using both dermoscopic and histopathology to diagnose the patients and divide into groups according to endoscopicand pathological features to analyze the correspondence between dermoscopic manifestations and pathological changes.Results Compared with the dermoscopic diagnosis,sensitivity,coincidence rate,total coincidence rate,misdiagnosis rate,missed diagnosis rate,Youden index and Kappa value of the dermoscopic in diagnosis of skin were respectively 97.44%, 83.33%, 94.12%, 16.67%, 2.56%, 0.808 and 0.832.Four groups of the dermoscopic performance were not parallel with the common pathological type.the difference was statistically significant（P〈0.05）,for the four pairwise comparison,any difference between the two groups also had significant（P=0.0083〈0.05）.Conclusion Compared with the pathological diagnosis, the dermoscopic has higher diagnostic consistency.Different basal cell carcinoma corresponded with different pathological types.

关 键 词：基底细胞癌 皮肤镜 病理特征 

分 类 号：R73[医药卫生—肿瘤]