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[摘要]
目的:探讨激光共焦显微镜HRT3-RCM在真菌性角膜炎诊断中的应用价值。
方法:对临床拟诊真菌性角膜炎患者32例32眼行HRT3-RCM检查,同时进行角膜刮片细胞学检查。
结果:在32例患者中,24例在角膜组织刮片中查到了菌丝,阳性率为75%; 30例在激光共焦显微镜下观察到真菌菌丝,阳性率为94%。
结论:HRT3-RCM是利用激光作为光源的新一代共焦显微镜,是一种快速、有效、无创的检查方法,可用于真菌性角膜炎的早期病原学诊断以及治疗观察。
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[Abstract]
AIM: To evaluate the value of Heidelberg retina tomograph 3-RCM(HRT3-RCM)in clinical diagnosis of fungal keratitis.
METHODS: Thirty-two eyes with clinical determined fungal keratitis were observed with HRT3-RCM examination. In the same time, the corneal scraping was performed for all cases.
RESULTS: In 32 patients, the positive rate of corneal scraping was 75%(24/32)and the positive rate of HRT3-RCM was 94%(30/32).
CONCLUSION: HRT3-RCM, which is using laser as light source, is a new generation of confocal microscopy. It is a rapid, effective and noninvasive technique that can be used in the early diagnosis, treatment of fungal keratitis.
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