摘要
目的观察婴幼儿血管瘤在皮肤镜下的特征,以探讨皮肤镜用于无创性诊断婴幼儿血管瘤的可行性。方法回顾性分析2016年7月-2017年1月本科确诊的67例婴幼儿血管瘤皮损的皮肤镜下特征和临床资料。结果婴幼儿血管瘤皮肤镜下结构特征为:红色腔隙样结构、膨大扩张的血管结构、皮损周边血管结构、蓝紫色腔隙样结构、弥漫性红色结构。单因素回归分析显示,患者年龄和婴幼儿血管瘤皮肤镜下各结构特性无显著相关性。婴幼儿血管瘤依据皮肤镜下主要形态结构模式,可分为四型:以"鹅卵石"样红色腔隙样结构为主的血管瘤、以膨大扩张血管结构为主的血管瘤、以稀疏排列的红色腔隙样结构为主的血管瘤和以弥漫性红色结构为主的血管瘤。结论婴幼儿血管瘤皮肤镜下具有特征性结构,皮肤镜可作为婴幼儿血管瘤无创性诊断手段。
Objective To investigate the dermoscopic feature of infantile hemangioma（IH）, and to discuss the practical use of dermoscopy on noninvasive diagnosis in the field of infantile hemangioma.Methods The dermoscopic images and clinical data of IH lesions in 67 patients were retrospectively analyzed from July 2016 to January 2017 in the Department of Dermatology in Kunming Children＇s Hospital.Results The typical vascular patterns of IH lesions were red lacunae, dilated vessel, arounding vessel,bluish-purple lacunae,diffuse reddish.No significant association was found between age and vascular patterns by univariate analysis.Based on the dermoscopic appearances of vascular dominant features, IH can subdivide into four vascular forms, cobble-stone like red lacunae pattern, dilated vessel pattern, loosely arranged red lacunae pattern,diffuse reddish pattern.Conclusion There are characteristic features for IH at dermoscopy.Dermoscope is a effective, noninvasive diagnostic method to IH.
出处
《中国皮肤性病学杂志》
CAS
CSCD
北大核心
2018年第1期33-37,共5页
The Chinese Journal of Dermatovenereology
基金
昆明市卫计委"十百千"儿童血管瘤诊疗技术中心(SW(技)-65)
