中华皮肤科杂志 ›› 2000, Vol. 33 ›› Issue (5): 321-323.

• 论著 • 上一篇    下一篇

甲真菌病病甲形态学特征与致病真菌种类关系的研究

宋为民, 金海生, 周轶清, 郑俊惠, 许爱娥   

  1. 杭州市第三人民医院皮肤科, 310009
  • 收稿日期:1999-12-27 出版日期:2000-10-15 发布日期:2000-10-15
  • 基金资助:
    中华医学会皮肤科分会基金

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

SONG Weimin, JIN Haisheng, ZHOU Yiqing   

  1. Department of Dermatology, Third Hospital, Hangzhou 310009
  • Received:1999-12-27 Online:2000-10-15 Published:2000-10-15

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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。

关键词: 甲真菌病, 诊断

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