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細針穿刺切片在眼窩黴菌感染的應用
Fine Needle Aspiration Biopsy in Orbital Mycosis
摘要
眼窩黴菌成染(Orbital mycosis)對於抵抗力差的病人，尤其是對糖尿病患者，是一種伺機性成染(oppotunistic infection)。這些病人往往以眼皮下垂(ptosis)、眼球突出(proptosis)及視力喪失(loss of vision)等症狀來表現。但臨床上的猜測，須有微生物培養及組織病理的證明，才有正確的診斷。吾人利用細針穿刺切片的方法(fine needle aspiration biopsy FNAB)，取得眼窩內抽取液，作細胞學觀察及從生物學的培養與鑑定，使眼窩黴菌感染的診斷，更為迅速與確實。 利用細針穿刺切片，對糖尿病病患，臨床上懷疑有眼窩黴菌感染者，作微生物鑑定。吾人報告一例是Mucormycosis，另一例是Aspergillosis。比照以往外科手術切片(surgical biopsy)，細針穿刺切片是一個簡單、方便、快速又少合併症的方法。
關鍵字
無資料並列摘要
Orbital mycosis is an oppotunistic infection in immune compromised patients, esp. in diabetes. They usually present as ptosis, proptosis, or loss of vision, and etc. Though the diagnosis of orbital mycosis is usually made by clinical presentation rather than the histopathology of orbital lesions. We find the use of FNAB for cytological and microbiological studies, in cases of DM, who are clinically suspected to have orbital mycosis, to be a simple, rapid and useful procedure for the diagnosis of orbital mycosis.