真菌性角膜溃疡29例临床病理分析  被引量:5

Clinical pathological analysis of mycotic corneal ulcer in 29 cases

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作  者:杨广英[1] 姜黄[1] 郭艳萍[1] 袁淑慧[1] 郭芳芳[1] 张穗[1] 孙丽[1] 

机构地区:[1]河南省郑州市第五人民医院病理科,450003

出  处:《眼科新进展》2008年第8期610-611,共2页Recent Advances in Ophthalmology

摘  要:目的探讨真菌性角膜溃疡的临床病理形态特点。方法对29例真菌性角膜溃疡病理学形态特点进行总结分析,角膜组织标本行HE染色和PAS染色。结果真菌性角膜溃疡组织损害主要为广泛化脓性炎症,可见病变区角膜上皮细胞缺损,炎细胞环绕溃疡部位大量浸润分布,距病灶较远处的基质层炎细胞浸润明显减少,并将其与正常角膜组织相隔离。结论病理检查能够确诊真菌性角膜溃疡,能够明确真菌在角膜内的生长情况,具有一定的临床诊断意义。Objective To explore pathological morphological features of mycotic corneal ulcer (MCU). Methods Pathological morphological characteristies of 29 cases of MCU were summarized and analyzed. Corneal samples were treated with HE staining and heptaiodic acid staining. Results The histological lesion was mainly characterized of general suppurative inflammation of MCU, which was demon- strated defect of corneal epithelium, and ulcer was surrounded and infiltrated by inflammatory ceUs, Infiltration of inflammatory cells in substantia propria layer was Obviously decreased away from focus of infectton,and isolated from normal cornea. Conclusion Pathological examination can make the definite diag- nosis of MCU, identify the growth condition of mycetes in cornea and suggest a certain clinical diagnostic significance. [ Rec Adv Ophthalmol 2008;28(8) :610-611]

关 键 词:角膜炎 真菌性 溃疡 病理 

分 类 号:R772.2[医药卫生—眼科]

 

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