口腔医学研究 ›› 2021, Vol. 37 ›› Issue (7): 588-591.DOI: 10.13701/j.cnki.kqyxyj.2021.07.002

• 综述 • 上一篇    下一篇

口腔念珠菌病的微生物学诊断理念和椅旁镜检的价值分析

杨淼, 周红梅*   

  1. 口腔疾病研究国家重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心 四川大学华西口腔医院 四川 成都 610041
  • 收稿日期:2021-02-05 出版日期:2021-07-28 发布日期:2021-07-13
  • 通讯作者: * 周红梅,E-mail:zhouhm@scu.edu.cn
  • 作者简介:杨淼(1995~ ),女,四川广元人,硕士在读,主要研究方向为口腔黏膜病学。
  • 基金资助:
    国家自然科学基金(编号:82071124);四川省重点研发项目(编号:2021YFS0194);成都市科技项目(编号:2019YF0501151SN)

Concept of Microbiological Diagnosis and Value Analysis of Chair-side Direct Microscopy in Oral Candidiasis

YANG Miao, ZHOU Hongmei*   

  1. State Key Laboratory of Oral Diseases & National Medical Center of Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-02-05 Online:2021-07-28 Published:2021-07-13

摘要: 口腔念珠菌病是人类最常见的口腔真菌感染,其临床表现较复杂,目前多数医师仅依据临床印象对其进行诊疗,但有时证据不足难以鉴别,因此有必要结合微生物学检查以明确病因和诊断。椅旁直接镜检具有快捷有效、无创、易重复的优点,适用于繁忙的门诊工作,可为口腔念珠菌病临床诊疗提供必要的病原学证据。本文将引入微生物学诊断理念并结合长期临床实践体会,对椅旁直接镜检的应用价值进行分析评估。

关键词: 口腔念珠菌病, 微生物学诊断, 直接显微镜检查, 椅旁辅助诊断技术, 价值分析

Abstract: Oral candidiasis is the most common oral fungal infection with complex clinical manifestations. At present, most physicians make diagnosis and treatment according to clinical impression only, but sometimes it is difficult to distinguish due to insufficient evidence. Therefore, it is necessary to combine with microbiological detection to further clarify the etiology and diagnosis. Direct chair-side microscopy, with the advantages of being fast, effective, non-invasive, and easy to repeat, is suitable for busy outpatient work, and can provide necessary etiological evidence for clinical diagnosis and treatment of oral candidiasis. This paper introduces the concept of microbiological diagnosis and integrate with long-term practical experience of oral candidiasis in clinic, and analyze and evaluate the application value of direct chair-side microscopy.

Key words: oral candidiasis, microbiological diagnosis, direct microscopy, chair-side assisted diagnostic technique, value analysis