目的:探讨关于银屑病的超声影像学研究现状以及发展趋势,为临床医生提供参考。方法:采用文献计量学方法及可视化分析,于2024年3月9日在Web of Science核心数据库中检索了2004至2023年发表的关于银屑病的超声影像学的研究文献,利用CiteSp...
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目的:探讨关于银屑病的超声影像学研究现状以及发展趋势,为临床医生提供参考。方法:采用文献计量学方法及可视化分析,于2024年3月9日在Web of Science核心数据库中检索了2004至2023年发表的关于银屑病的超声影像学的研究文献,利用CiteSpace和VOSviewer对检索出的文献进行年度发文量、作者、机构、国家、被引文献、关键词等分析。结果:共纳入424篇文献,发文量总体呈现明显上升的趋势,提示未来关于银屑病的超声影像学研究可能有更多的关注和投入;意大利为发文量最多的国家,为116篇(27.36%);发文量最多的单位是利兹大学,为35篇;Eder Lihi发表23篇,为发文量最多的作者;Carlos等2007年发表的论文引用频次最高,为196次;将关键词进行聚类分析发现,银屑病关节炎的超声诊断、附着点炎及滑膜炎的超声检查、银屑病疾病活动度的超声评估、银屑病指甲损害及肌腱受损的超声评估和银屑病共病的超声筛查是银屑病超声影像学领域的研究热点。结论:银屑病的关节和皮肤附属器受累、疾病活动度评估及银屑病共病的超声影像学诊断是新的研究热点。
目的:探讨儿童与成人肢端黑素细胞痣的皮肤镜特征。方法:收集2020年7月至2023年7月儿童和成人肢端黑素细胞痣的皮肤镜资料,回顾性分析儿童与成人肢端黑素细胞痣皮肤镜特征的差异,与痣类型、病变部位的相关性,并观察研究了常见恶性黑素瘤皮肤镜特征在儿童与成人肢端黑素细胞痣中分布情况。结果:收集584例患者,共608处皮损,女性425处(69.9%),男性183处(30.1%),儿童组(P = 0.017)在足跖受压部位常见;而在成人组各皮肤镜模式未发现与部位有相关性,在不同部位中所占比例无统计学意义。在获得性黑素细胞痣中,儿童组各皮肤镜模式与部位无相关性;而在成人组与部位有相关性:网格样/网球模式(P P P P = 0.033),而在获得性黑素细胞痣中,仅在成人患者中观察到黑素瘤特殊皮肤镜结构。结论:儿童和成人肢端黑素细胞痣皮肤镜模式存在一定差异,与痣的类型及分布部位的相关性也不同,黑素细胞瘤皮肤镜结构中的皮嵴模式在儿童先天性黑素细胞痣中较成人多见,皮嵴模式对于儿童先天性黑素细胞痣与恶性黑素瘤鉴别诊断的特异性较低。掌握儿童与成人肢端黑素细胞痣皮肤镜特征的差异,对改善黑素细胞痣的临床管理具有重要意义,尤其可减少儿童患者不必要的切除。Objective: To investigate the dermoscopic features of acral melanocytic nevus in children and adults. Methods: Dermatoscopic data of acral melanocytic nevus in children and adults were collected from July 2020 to July 2023, and the differences in dermatoscopic features of acral melanocytic nevus in children and adults were retrospectively analyzed for their correlation with the type of nevus and the location of the lesion, and the distribution of dermatoscopic features of common malignant melanomas in acral melanocytic nevus of children and adults was studied observationally. Results: A total of 608 lesions were collected from 584 patients, 425 (69.9%) from females and 183 (30.1%) from males, 239 lesions (39.3%) were collected in the pediatric group (P = 0.017) was common in the foot-plantar pressure site in the pediatric group;whereas in the adult group, no correlation was found between each dermoscopic pattern and site, and the proportions in different sites were not statistically significant. In acquired melanocytic nevi, each dermoscopic pattern did not correlate with the site in the pediatric group;whereas in the adult group is correlated with the site: grid-like/ grid ball pattern (P P P P = 0.033), whereas in acquired melanocytic nevi, the melanoma-specific dermoscopic structures were observed only in adult patients. Conclusion: The dermoscopic patterns of acral melanocytic nevus in children and adults are somewhat different, and the correlation w
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