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甲真菌病病甲形态学特征与致病真菌种类关系的研究

  来源:120online      日期:2007-05-07
中华皮肤科杂志2000年第5期第33卷论著作者:宋为民 金海生 周轶清 郑俊惠 许爱娥单位:310009杭州市第三人民医院皮肤科关键词:甲真菌病;诊断...

  【摘要】目的研究甲真菌病病甲的形态学特征与致病真菌类型或菌种之间的关系,为临床快速推断致病真菌建立依据。方法360例门诊甲真菌病患者,观察临床分型和特征,牙钻机取材,镜检和培养确定致病真菌。结果经培养确定致病真菌感染者165例,其中皮肤癣菌占80.0%,酵母菌13.9%,霉菌2.4%,混合感染3.6%。结论根据甲真菌病病甲的形态学特征,可以大致推断致病菌的种类。

Study on the Relationship Between the Morphological Features of Nail and Pathogenic Fungi in Onychomycosis

SONG Weimin,JIN Haisheng,ZHOU Yiqing,et al.

  (Department of Dermatology, Third Hospital, Hangzhou 310009)

  【Abstract】 Objective To investigate the relationship between the morphological features of involved nail and pathogenic fungi in onychomycosis. Methods A total of 360 out- patients were studied. The specimens were taken with tooth drill, pathogenic fungi were examined by microscopy and culture, clinical types and features were observed. Results The pathogenic fungi were identified in 165 cases, 80.0% were caused by dermatophytes, 13.9% by yeasts, 2.4% by non dermatophyte moulds, and 3.6% were mixed infections. Clinical features of these types of onychomycosis caused by different fungi were described. Conclusions Specific fungi or species might be deduced according to the morphological features of onychomycosis together with microscopy.

  【Key words】 Onychomycosis Diagnosis

  材料和方法

  一、病例选择

  1997年6月至1999年6月,共观察门诊360例疑为甲真菌病的患者。

  二、研究方法

  三、临床分型

  结果

  360例患者中,经镜检、培养并确定致病菌者165例(占45.8%),男61例,女104例,年龄13~71岁,平均(38.7±12.6)岁。

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