皮肤镜可用于黑甲的评估与诊断,但一些不典型病例的诊断仍较困难。作者研究并证实围手术期的反射共聚焦显微镜(reflectance confocal microscopy,RCM)可提高皮肤镜的诊断。对于典型病例,一次有创手术内可完成原位及轻度浸润性黑素瘤的诊断和治疗,从而减轻甲进行反复有创检查带来的痛苦,并减少术后恢复时间。 Dermatoscopy can be used for the assessment and diagnosis of Armor, but the diagnosis of some atypical cases is still more difficult. The authors studied and confirmed that perioperative reflectance confocal microscopy (RCM) can improve the diagnosis of dermatoscopy. For a typical case, a invasive surgery can be done in situ and mild invasive melanoma diagnosis and treatment, thereby reducing the pain caused by repeated invasive inspection and reduce postoperative recovery time.