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CFW荧光染色法在甲真菌病诊断中的应用研究

岳学苹 石秀艳 陈伟 万喆 李若瑜 王爱平 李清

中国真菌学杂志2018,Vol.13Issue(1):8-10,45,4.
中国真菌学杂志2018,Vol.13Issue(1):8-10,45,4.

CFW荧光染色法在甲真菌病诊断中的应用研究

Evaluate the accuracy of CFW fluorescent staining for the diagnosis of suspected onychomycosis

岳学苹 1石秀艳 2陈伟 2万喆 2李若瑜 2王爱平 2李清1

作者信息

  • 1. 首都医科大学附属北京天坛医院皮肤性病科,北京100050
  • 2. 北京大学第一医院皮肤性病科北京大学真菌和真菌病研究中心,北京100034
  • 折叠

摘要

Abstract

Objective Evaluate the positive rate,accuracy and efficiency of CFW (Calcofluor white) fluorescent staining for the diagnosis of suspected onychomycosis.Methods Outpatients suspected to have onychomycosis were recruited.Each patient was subjected to three methods (CFW fluorescent staining,KOH microscopy and fungal culture) together to confirm the diagnosis.Then we compared the positive rates and the statistically significant differences across the three methods.Moreover,the images under KOH and CFW were also compared.Results One hundred patients with 100 affected nails were recruited.Among them,the positive rates of the CFW,KOH,and culture were 64 %,63 %,and 31%,respectively.According to the McNemar test,CFW had a higher percentage of positive rate than culture testing (P<0.01),but it was not statistically significant different from KOH (P>0.05).Compared with KOH,the preparation and examination time were faster and easier,and the fungal structures under CFW were clearer,more obvious,and more easily detected.Conclusions CFW fluorescent staining was a simple,fast,convenient,accurate,and time-efficient method.It could potentially increase the accuracy and efficiency of the diagnosis of onychomycosis and help to avoid misdiagnosis.

关键词

甲真菌病/CFW荧光染色/KOH溶液湿片法/真菌培养

Key words

onychomycosis/CFW fluorescent staining/KOH microscopy/fungal culture

分类

医药卫生

引用本文复制引用

岳学苹,石秀艳,陈伟,万喆,李若瑜,王爱平,李清..CFW荧光染色法在甲真菌病诊断中的应用研究[J].中国真菌学杂志,2018,13(1):8-10,45,4.

基金项目

北京市自然科学基金(7164255) (7164255)

中国真菌学杂志

OACSCDCSTPCD

1673-3827

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