共焦激光角膜显微镜在真菌性角膜炎诊断中的应用  

The role of confocal laser corneal microscopy in diagnosis of fungal keratitis

作　　者：王效武[1] 郑晓汾[1] 赵炬伟[1] 

机构地区：[1]山西省眼科医院,太原030002

出　　处：《中国实用眼科杂志》2006年第8期839-840,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的评价共焦激光角膜显微镜在临床诊断真菌性角膜炎中的应用价值。方法用共焦激光角膜显微镜对临床拟诊为真菌性角膜炎的26例患者进行检查,同时行涂片检查真菌菌丝,对两组结果进行比较。结果26例患者中,根据病史、临床表现24例确诊为真菌性角膜炎,其中共焦激光角膜显微镜的确诊率为95.83%(23/24),角膜刮片的确诊率为83.33%(20/24)。结论共焦激光角膜显微镜是一种快速、有效、无损伤的活体检查方法,在真菌性角膜炎的早期诊断、治疗和研究中将起重要作用。Objective To illustrate the value of confocal laser corneal microscopy in diagnosis of fungal kerotitis. Method In vivo confocal laser corneal microscopy was performed on 26 patients of suspected fungal keratitis, The results were compared with smears. Results 26 patients were clinical diagnosis of fungal keratitis based on history ,clinical signs ,The positive rate of confocal laser corneal microscopy is 95.83% （23/ 24）, The positive rate of smears is 83.33% （20/24）. Conclusion confocal laser corneal microscopy can be a rapid,effective and noninvasive imaging technique, and it is helpful in the diagnosis ,treatment and study of fungal keratitis.

关 键 词：共焦激光角膜显微镜 诊断 角膜 真菌性 

分 类 号：R772.21[医药卫生—眼科] R445[医药卫生—临床医学]