温州地区8591例浅部真菌病发病及镜检情况分析

Analysis of epidemiology and microscrope examination in 8591 cases of superficial mycosis in Wenzhou region

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。

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.