皮肤镜技术在口腔黏膜病诊断及鉴别中的应用价值OA
Application Value of Dermoscopy in Diagnosis And Differential Diagnosis of Oral Mucosal Diseases
目的 探讨皮肤镜技术在口腔黏膜病诊断及鉴别中的临床应用价值.方法 选取2021年9月至2024年5月期间在安徽医科大学第一附属医院口腔科就诊的30例口腔黏膜患者,包括15例口腔白斑患者、15例口腔扁平苔藓患者.采用皮肤镜技术对患者进行诊断,分析诊断结果,评估皮肤镜技术在口腔黏膜病诊断中的准确率,总结皮肤镜下口腔黏膜病的病损特征.结果 30例患者中,有29例患者的皮肤镜图像特征符合口腔黏膜病特征,诊断准确率达96.66%.在皮肤镜下,口腔扁平苔藓的主要表现为与病理诊断相符的珠光色样呈网状的 Wickham 纹,口腔白斑则表现为白色至粉红色的无结构区域.结论 皮肤镜技术有助于临床对口腔白斑及口腔扁平苔藓等口腔黏膜病进行诊断与鉴别诊断,且具有诊断快速、准确率高、无创等优点.
Objective:To explore the clinical application value of dermoscopy in the diagnosis and differential diagno-sis of oral mucosal diseases.Methods:From September 2021 to May 2024,30 patients with oral mucosa were select-ed,including 15 patients with oral leukoplakia and 15 patients with oral lichen planus.The patients were diagnosed by dermoscopy,the diagnosis results were analyzed,the accuracy of dermoscopy in the diagnosis of oral mucosal diseases was evaluated,and the lesion characteristics of oral mucosal diseases under dermoscopy were summarized.Results:Among the 30 patients,29 patients'dermoscopy image characteristics were consistent with the characteris-tics of oral mucosal diseases,and the diagnostic accuracy rate was 96.66%.Under dermatoscope,the main mani-festations of oral lichen planus are pearlescent Wickham lines consistent with pathological diagnosis,while oral leu-koplakia is white to pink unstructured areas.Conclusion:Dermatoscopy is helpful for clinical diagnosis and differen-tial diagnosis of oral mucosal diseases such as oral leukoplakia and oral lichen planus,and it has the advantages of rapid diagnosis,high accuracy and non-invasive.
张健儒;律娜
安徽医科大学第一附属医院口腔医学中心,安徽 合肥 230022安徽医科大学第一附属医院口腔医学中心,安徽 合肥 230022
临床医学
口腔黏膜病皮肤镜口腔白斑口腔扁平苔藓
Oral mucosal diseaseDermoscopyLeukoplakiaOrallichenplanus
《生命科学仪器》 2024 (6)
44-46,3
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