中国现代医生2025，Vol.63Issue(13)：19-22,4.DOI:10.3969/j.issn.1673-9701.2025.13.005
皮肤镜联合快速冰冻切片检查在头面部皮肤肿瘤的应用
Clinical application of dermatoscope combined with rapid frozen section examination in the treatment of head and facial skin tumors
摘要
Abstract
Objective To evaluate the application value of dermatoscope combined with rapid frozen section examination in the treatment of head and facial skin tumors.Methods A retrospective analysis was performed on 123 patients with head and facial skin masses admitted to Affiliated Jinhua Hospital,Zhejiang University School of Medicine from June 2019 to December 2023.Patients were divided into two groups according to their wishes.Patients in group A underwent preoperative dermoscopy combined with intraoperative rapid frozen section examination,and patients in group B underwent preoperative skin biopsy combined with intraoperative rapid frozen section examination.The diagnostic accuracy of two methods was compared.Results There were 81 patients in group A,including 39 basal cell carcinoma,25 squamous cell carcinoma,8 solar keratosis,5 seborrheic keratosis and 4 verrucous nevus.There were 42 patients in group B,including 25 basal cell carcinoma,13 squamous cell carcinoma and 4 solar keratosis.Both groups of patients successfully completed the operation,postoperative follow-up 6 months no recurrence.The accuracy of dermoscopy in the diagnosis of head and facial skin masses was 91.36％,and the accuracy of skin biopsy was 100％.There was no statistical significance between them(x2=2.407,P=0.121).Conclusion In surgical treatment of head and facial skin tumors,the diagnostic accuracy of preoperative dermoscopy combined with intraoperative rapid frozen section examination is high,and it is worthy of clinical promotion.关键词
皮肤镜/快速冰冻切片/病理诊断/皮肤肿瘤Key words
Dermoscopy/Rapid frozen section/Pathological diagnosis/Skin tumor分类
临床医学引用本文复制引用
付学锋,曾磊,江渊,王美燕,蒋冰晶,章艳斐..皮肤镜联合快速冰冻切片检查在头面部皮肤肿瘤的应用[J].中国现代医生,2025,63(13):19-22,4.基金项目
浙江省金华市科学技术局重大(重点)科技计划项目(2022-3-101) （重点）
