角膜共焦显微镜在真菌性角膜炎诊断中的优势  

Corneal confocal microscopy in diagnosis of fungal keratitis advantage

作　　者：王荃[1,2] 李凯军[2] 高东鸿 路晖[2] 

机构地区：[1]滨州医学院,山东滨州256603 [2]淄博市中心医院眼科,山东淄博255036

出　　处：《山东大学耳鼻喉眼学报》2014年第2期90-91,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的研究角膜共焦显微镜在真菌性角膜炎诊断中的优势。方法门诊诊断为真菌性角膜炎的患者32例均行病灶角膜组织刮片、真菌培养及角膜共焦显微镜检查,比较结果。结果 32例角膜炎患者,共焦显微镜检查检出率为94.3%;刮片查到菌丝或孢子,检出率为42.8%;真菌培养发现真菌菌落,检出率为54.3%,共焦显微镜检出率明显高于刮片及真菌培养。结论在真菌性角膜炎的诊断中,角膜共焦显微镜具有操作简便,检查快捷,可在活体直接进行检查,可重复性高,扫描结果可直接同步显示到电脑屏幕,图像清晰,直观、无创等优势,对临床诊治真菌性角膜炎有极大的帮助。Objective To explore the advantages of corneal confocal microscope in the diagnosis of fungal keratitis. MethOds 32 cases of fungal keratitis underwent corneal tissue lesion scraping, fungal culture and corneal confocal mi croscopy. Results The detection rate was 94.3% in 32 cases of keratitis by confocal microscopy; hyphae or spores were found by smears, the detection rate of 42.8% ; fungal culture found fungal colonies, the detection rate of 54.3%. Conclusion In diagnosis of fungal keratitis, corneal confocal microscopy is a simple method with direct and clear view in vivo, high repeatability and noninvasion.

关 键 词：角膜共焦显微镜 真菌 角膜炎 

分 类 号：R777.2[医药卫生—眼科]