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温州地区8591例浅部真菌病发病及镜检情况分析
引用本文:吴玲剑,陈彬,李超,徐云升,李秉煦. 温州地区8591例浅部真菌病发病及镜检情况分析[J]. 中国卫生检验杂志, 2012, 0(1): 116-118
作者姓名:吴玲剑  陈彬  李超  徐云升  李秉煦
作者单位:温州医学院附属第一医院;浙江省温州市第二人民医院皮肤科
摘    要:
目的:了解温州地区皮肤科门诊浅部真菌病发病的种类、构成比及流行病学特点,评估直接镜检法对浅部真菌病的诊断意义。方法:采用病例回顾性分析,对8591例临床拟诊为浅部真菌病者进行直接镜检。结果:近五年就诊人数呈上升趋势,各种浅部真菌病发病种类和构成比没有明显变化。浅部真菌病发病率以手足癣(33.3%)、甲癣(23.3%)、花斑癣(12.8%)为前三位。镜检阳性率排在前三位的是股癣(68.8%)、花斑癣(68.4%)、马拉色菌毛囊炎(63.1%),总阳性率为55.0%。结论:温州地区浅部真菌发病的种类和构成比无明显变化,直接镜检法作为真菌学检验方法经济、简便易行,值得临床使用。

关 键 词:浅部真菌病  显微镜检查  阳性率

Analysis of epidemiology and microscrope examination in 8591 cases of superficial mycosis in Wenzhou region
WU Ling-jian,CHEN Bin,LI Chao,XU Yun-sheng,LI Bing-xu. Analysis of epidemiology and microscrope examination in 8591 cases of superficial mycosis in Wenzhou region[J]. Chinses Journal of Health Laboratory Technology, 2012, 0(1): 116-118
Authors:WU Ling-jian  CHEN Bin  LI Chao  XU Yun-sheng  LI Bing-xu
Affiliation:1(1.The First Affiliated Hospital of Wenzhou Medical College,Wenzhou 325000,China;2.Department of Dermatology,The Second People’s Hospital of Wenzhou,Wenzhou 325000,China)
Abstract:
Objective:To investigate the variety and constitute of superficial mycoses,as well as epidemiological characteristics in dermatology clinic in Wenzhou.To evaluate the significance of microscope examination.Methods: Direct microscopy was performed on clinical specimens collected from 8591 cases of suspected patients with superficial mycosis in our hospital.Results: The visiting number showed a gradually increasing tendency.There was no obvious change in variety and constitute of superficial mycoses from 2006 to 2010.The incidence rate on the top list was: tinea pedis and tinea manus(33.3%),tinea unguium(23.3%),tinea versicolor(12.8%).The top three positive rate under microscopy was tinea inguinalis(68.8%),tinea versicolor(68.4%),pityrosporum folliculitis(63.1%),with the overall positive rate of 55.0%.Conclusion: There was no obvious change in variety and constitute of superficial mycosis in dermatology clinic in Wenzhou region.Direct microscopic examination was worth using clinically as an economic and convenient method for diagnosis of superficial mycosis.
Keywords:Superficial mycosis  Microscopic examination  Positive rates
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