共焦激光角膜显微镜在真菌性角膜炎早期诊断中的意义  

Significance of confocal laser corneal microscopy in the early diagnosis of fungal keratitis

作　　者：王婷婷[1] 刘平[1] 王健[1] WANG Ting-ting;LIU Ping;WANG Jian(Department of Ophthalmology,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院眼科,黑龙江哈尔滨150001

出　　处：《哈尔滨医科大学学报》2018年第5期455-457,共3页Journal of Harbin Medical University

基　　金：国家自然科学基金资助项目(30973275)

摘　　要：目的探讨共焦激光角膜显微镜在真菌性角膜炎诊断中的应用价值。方法真菌性角膜炎患者34例34只眼,同时行共焦激光角膜显微镜检查及角膜组织刮片检查,对比分析两种方法真菌检出率情况。结果 34例患者中,共焦激光角膜显微镜的确诊率为94. 12%(32/34),角膜组织刮片检查确诊率为58. 82%(26/34),两者比较差异具有统计学意义(P <0. 05)。结论共焦激光角膜显微镜在真菌性角膜炎的早期诊断中具有重要的临床意义。Objective To investigate the value of confocal laser corneal microscopy in the diagnosis of fungal keratitis. Methods Thirty-four patients( 34 eyes) with fungal keratitis were examined by confocal laser corneal microscopy and corneal tissue smear,and the detection rate of the two methods were compared. Results The diagnostic rate of confocal laser corneal microscopy was 94. 12%( 32/34) in 34 patients,and 58. 82%( 26/34) by corneal tissue smear examination,the difference was statistically significant( P < 0. 05). Conclusion Confocal laser corneal microscopy is a rapid,effective and noninvasive biopsy method and has an important clinical significance in the early diagnosis of fungal keratitis.

关 键 词：共焦激光角膜显微镜 角膜组织刮片 真菌性角膜炎 

分 类 号：R772.21[医药卫生—眼科]