中国麻风皮肤病杂志 ›› 2018, Vol. 34 ›› Issue (12): 712-714.

• 论著 • 上一篇    下一篇

荧光染色法和KOH湿片法、真菌培养法在皮肤浅部真菌感染诊断中的应用比较

杜 鹏 黄嘉怡 沈守星 魏秋姣 刘小凤   

  1. 珠海市慢性病防治中心,广东珠海,519000
  • 出版日期:2018-12-13 发布日期:2018-12-14
  • 通讯作者: 杜鹏,E-mail:nfykdxdp@163.com

Comparasion of the fluorescent staining method and KOH wet method, fungal culturing method in detecting skin superficial fungal infection

Du Peng, Huang Jiayi,Shen Shouxing, Wei Qiujiao, Liu Xiaofeng   

  1. Zhuhai Center for Chronic Disease Control, Zhuhai 519000,Guangdong,China
  • Online:2018-12-13 Published:2018-12-14
  • Contact: DU Peng,E-mail:nfykdxdp@163.com
  • Supported by:

摘要: 目的: 评估荧光染色法在皮肤浅部真菌感染诊断中的价值。方法: 收集我院皮肤门诊疑似皮肤浅部真菌感染标本,同时采用荧光染色法、KOH湿片法和真菌培养法进行检测,比较检测结果。结果: 在236例标本中荧光染色法、KOH湿片法、真菌培养法总阳性率分别为90.6%、67.4%、60.2%,在179例皮屑标本中阳性率分别为92.1%,69.3%,64.2%,52例甲真菌病标本中阳性率分别为84.6%,57.7%,44.2%,荧光染色法与其他两种方法相比,差异均有统计学意义(均P<0.01)。5例毛发标本中阳性率分别为100%,100%,80%,三种方法阳性率无统计学差异(均P>0.05)。结论: 荧光染色法简单有效,可以降低假阴性率。

关键词: 荧光染色, KOH, 真菌培养, 皮肤浅部真菌感染

Abstract: Objective: To evaluate the effects of fluorescent staining method in detecting skin superficial fungal infection. Methods: Suspected patients with fungal infection were collected in the department of dermatology, and all the samples were detected by fluorescent staining method, KOH wet method and fungal culturing method. Results: The total positivity rate of 236 samples by the fluorescent staining method, KOH wet method and fungal culturing method were 90.6%,67.4% and 60.2% respectively. The positivity rate of 179 lesions by the fluorescent staining method, KOH wet method and fungal culturing method were 92.1%,69.3%,64.2%.The positivity rate of 52 nails were 84.6%,57.7% and 44.2% respectively.. There were significant differences of above positivity rate between fluorescent staining method and KOH wet method or fungal culturing method (s<0.01). The positivity rate of 5 hear samples by the fluorescent staining method, KOH wet method and fungal culturing method were 100%,100% and 80% respectively.There was no significant difference of hear positivity rate among three methods (P>0.05). Conclusions: Fluorescent staining is a simple and effective method ,and it can reduce false negativity rate.

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