277例晕痣的临床回顾性分析

发布时间：2019-03-03 14:23

【摘要】：目的:总结晕痣的临床特点,初步探讨晕痣与白癜风的临床相关性。方法:对277例晕痣患者的临床特点进行分析,并对部分患者进行随访。结果:277例行晕痣切除术的患者中,皮损单发219例(79.06%),多发58例(20.94%)。好发于面颈部(54.86%)与躯干(37.03%)。106例患者(38.27%)并发白癜风,其平均发病年龄小于未并发白癜风者(P=0.041)。随访110例未并发白癜风的晕痣患者术后转归,17例继发白癜风,其中11例于半年内发生。比较未并发白癜风的晕痣患者与继发白癜风的晕痣患者,后者多发晕痣的比例高于前者(P=0.003)。结论:晕痣皮损以单发多见,面颈部好发。晕痣发病年龄小、皮损多发是白癜风发病的危险因素。手术切除是治疗晕痣的一种有效方法,晕痣切除术后半年可能是白癜风发生的高风险期,应密切随访。
[Abstract]:Objective: to summarize the clinical features of halo nevus and explore the clinical correlation between halo nevus and vitiligo. Methods: the clinical features of 277 patients with halo nevus were analyzed and some patients were followed up. Results: there were 219 cases (79.06%) with single lesion and 58 cases (20.94%) with multiple lesions. 106 patients (38.27%) were complicated with vitiligo, the average age of onset was shorter than that of patients without vitiligo (P < 0.041). The incidence rate of vitiligo was higher than that of patients without vitiligo (P < 0.05), but the incidence of vitiligo was higher than that of patients without vitiligo (P < 0.05). Follow-up of 110 cases of halo nevus without vitiligo resulted in 17 cases of secondary vitiligo, of which 11 cases occurred within half a year. The rate of multiple halo nevus in patients without vitiligo complicated with vitiligo was higher than that in patients with secondary vitiligo (P < 0.003). Conclusion: the skin lesions of halo nevus are more common than those in the face and neck. Halo nevus is a risk factor for vitiligo due to its younger age and more skin lesions. Surgical resection is an effective method for the treatment of halo nevus. Half a year after halo nevus resection may be a high-risk period of vitiligo occurrence and should be followed up closely.
【作者单位】：第四军医大学西京皮肤医院;
【分类号】：R758.4

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