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目的：研究角膜共焦显微镜在真菌性角膜炎诊断中的优势。方法门诊诊断为真菌性角膜炎的患者32例均行病灶角膜组织刮片、真菌培养及角膜共焦显微镜检查，比较结果。结果32例角膜炎患者，共焦显微镜检查检出率为94．3％；刮片查到菌丝或孢子，检出率为42．8％；真菌培养发现真菌菌落，检出率为54．3％，共焦显微镜检出率明显高于刮片及真菌培养。结论在真菌性角膜炎的诊断中，角膜共焦显微镜具有操作简便，检查快捷，可在活体直接进行检查，可重复性高，扫描结果可直接同步显示到电脑屏幕，图像清晰，直观、无创等优势，对临床诊治真菌性角膜炎有极大的帮助。“,”Objective To explore the advantages of corneal confocal microscope in the diagnosis of fungal keratitis. Methods 32casesoffungalkeratitisunderwentcornealtissuelesionscraping,fungalcultureandcornealconfocalmi-croscopy.Results The detection rate was 94.3% in 32 cases of keratitis by confocal microscopy;hyphae or spores were found by smears,the detection rate of 42.8%;fungal culture found fungal colonies,the detection rate of 54.3%. Conclusion In diagnosis of fungal keratitis,corneal confocal microscopy is a simple method with direct and clear view in vivo,high repeatability and noninvasion.