改良角膜活检法对真菌性角膜溃疡的临床诊断  

An improved method for diagnosis of fungal coneal ulcer

作　　者：谢立信[1] 史伟云[1] 刘敬[1] 李绍伟[1] 潘晓刚 褚建[1] 姚瞻[1] 

机构地区：[1]山东省医学科学院眼科研究所,山东省266071

出　　处：《眼科新进展》1999年第2期89-91,共3页Recent Advances in Ophthalmology

摘　　要：目的对角膜活检加178．2mmol·L－1（100g·L－1）氢氧化钾法诊断真菌性角膜溃疡的阳性率进行评价。方法对80例临床诊断真菌性角膜溃疡患者，在行穿透性角膜移植前，角膜刮片、角膜活检加178．2mmol·L1氢氧化钾湿片法和角膜移植术后组织病理学染色的结果进行比较。结果角膜活检加178．2mmol·L－1氢氧化钾湿片法诊断真菌性角膜溃疡阳性率为97．5％．结论角膜活检加178．2mmol·L1氢氧化钾湿片法是一种快速、便捷、阳性率高的诊断真菌性角膜溃疡的方法。To evaluate the feasibility of comeal biopsy combined with 178. 2mmol L-1 potassium hydroxide slide in diagnosis of fungal comeal ulcer. Methods Comeal scraping and comeal biopsy with 178. 2mmol·L-1 potassium hydroxide slide were used to examine 80 cases of fungal comeal ulcer before penetrating keratoplasty. Postoperatively,the pathological samples were stained with histopathological methods. The three results were analyzed and compared. Results The positive rate of comeal biopsy combined with 178. 2 mmol·L-1 potassium hydroxide slide was 97. 5 %. Conclusion Comeal biopsy with 178. 2 mmol·L-1 potassium hydroxide slide is a rapid and simple method with high positive rate in diagnosis of fungal comeal ulcer.

关 键 词：角膜溃疡 真菌感染 角膜活检 诊断 

分 类 号：R772.210.4[医药卫生—眼科]