首页|兔曲霉菌性角膜炎共焦显微镜与组织病理检查的对比分析

兔曲霉菌性角膜炎共焦显微镜与组织病理检查的对比分析

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目的:探讨共焦显微镜与组织病理检查对真菌性角膜炎的诊断价值.方法:选择有色实验兔24只建立曲霉菌性角膜炎的模型,分别在接种后的第3,7,10,15日行角膜共焦显微镜与组织病理检查.结果:曲霉菌接种后的第3,7,10日角膜共焦显微镜与组织病理切片(HE,PAS染色)检查均可见曲霉菌菌丝及孢子,呈垂直、斜形生长,周围伴有较多炎性细胞(中性粒细胞、巨噬细胞)浸润,第15日角膜共焦显微镜可见到少量稀疏分布、短小的真菌菌丝.组织病理切片未见明显菌丝生长.结论:角膜共焦显微镜与组织病理对曲霉菌菌丝、孢子及生长方式的检测一致.角膜共焦显微镜是一种无创、快速的检查方法,为真菌性角膜炎的早期诊断、治疗用药、手术时机及手术方式的选择提供重要客观的依据.
Contrastive analysis of confocal microscopy and histopathologic with the rabbit fungal (aspergillus) keratitis
AIM: To evaluate the value of confocal mictoscopy and histopathological examination in diagnosis of fungal keratitis. METHODS:Twenty-four pigmentary rabbit fungal keratitis model of Aspergillus were built. Confocal microscopy and histopatholo-gial examination were used in 3, 7, 10 and 15 d after aspergillus was inoculated. RESULTS: Aspergillus hypha, spore and inflammatory infiltrates were found by confocal microscopy and his-topathologial in 3, 7, 10 d after aspergillus was inoculated. Most Aspergillus hypha grew in cornea perpendicularly and obliquely. In the anaphase (15 d after aspergillus injection) , a little hypha was found by confocal microscopy while it could not be found by pathological section examination. CONCLUSION: The outcome of Aspergillus hypha, spore and kinds of fungi grew in cornea by confocal microscopy was consistent with histopathological characteristics. Confocal Microscopy provides a means of no wound and fast for clinical diagnosis of fungal keratitis.

experimental rabbitaspergillusconfocal microscopypathological

杜蕊、吴洁、马吉献、朱秀萍、刘先宁、程燕、阎艳

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陕西省眼科研究所,西安市眼科医院,陕西西安710002

第四军医大学西京医院眼科,陕西西安710033

西安市第一医院,陕西西安710002

实验兔 曲霉菌 角膜共焦显微镜 病理

西安市科技局科研基金

GG05136

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(23)
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