扁平苔藓皮肤镜与皮肤组织病理诊断结果吻合度

Degree of agreement between results of dermoscopy and skin histopathology for the diagnosis of lichen planus

目的:探讨扁平苔藓(lichen planus,LP)的两种诊断方法皮肤镜图像分析技术与组织病理活检结果的相关性。方法:选择2017年1月到2017年10月皮肤科门诊收治的76例初步诊断为LP的患者进行皮肤镜图像分析,并与病理活检结果相比较。结果:与病理活检结果比较,皮肤镜结果总符合率为94.74%,皮肤镜诊断结果与病理活检结果有相关性,皮肤镜下不同类别与各自对应的病理类别不同。结论:皮肤镜可作为诊断LP的有效方法。

Objective: To explore the correlation between two diagnostic methods of lichen planus (LP), namely dermoscopy image analysis technology and histopathological biopsy results. Methods: From January 2017 to October 2017, 76 patients initially diagnosed with LP at dermatology department were selected for dermoscopy image analysis and compared with pathological biopsy results. Results: Compared with pathological biopsy results, the total coincidence rate of dermoscopy results was 94.74%. The diagnostic results of dermoscopy were correlated with that of pathological biopsy, while the categories in dermoscopy differ from their corresponding ones in pathological biopsy. Conclusion: Dermoscopy is an effective way to diagnose LP.