真菌荧光染色在侵袭性真菌感染病理学诊断中的应用研究

Application of fungal fluorescence staining in histopathological diagnosis of invasive fungal infections

  • 摘要: 目的:评估真菌荧光染色法在侵袭性真菌感染(IFIs)石蜡包埋组织病理切片中的应用价值。方法:经真菌培养确诊,同时行组织病理学检查的55例真菌感染患者,其中马尔尼菲篮状菌感染30例,取其石蜡包埋切片分别行过碘酸—希夫(PAS)染色、六胺银(GMS)染色及真菌荧光染色,采用McNemar检验对3种染色方法的检出率进行比较分析。结果:55例样本中,真菌荧光染色检出43例(78.2%),GMS染色检出37例(67.3%),PAS染色检出23例(41.8%),真菌荧光染色检出率显著高于GMS染色及PAS染色(P<0.01);30例马尔尼菲篮状菌感染中,真菌荧光染色检出21例(70.0%),GMS染色检出14例(46.7%),PAS染色检出6例(20.0%),真菌荧光染色检出率显著高于GMS染色及PAS染色(P<0.01)。结论:真菌荧光染色在IFIs真菌病理学诊断中检出率高于PAS染色和GMS染色,是组织病理学诊断IFIs的快速、高效的方法。

     

    Abstract: Objective: To evaluate the application value of fungal fluorescence staining in the histopathological sections of paraffin-embedded tissues with invasive fungal infections(IFIs). Methods: Fifty-five specimens with IFIs confirmed by fungal culture underwent histopathological examination at the same time, including 30 specimens of Talaromyces marneffei infection. The paraffin-embedded tissues were stained with periodic acid-Schiff(PAS) staining, Gomori's methenamine silver(GMS) staining and fungal fluorescence staining, respectively.McNemar's test was used to to compare the detection rates of the three staining methods. Results:Among the 55 specimens, 43 specimens(78.2%)were detected by fungal fluorescence staining, 37specimens(67.3%) by GMS staining, and 23 specimens(41.8%) by PAS staining. The detection rate of fungal fluorescence staining was significantly higher than that of GMS staining and PAS staining(P<0.01). In the 30 specimens of Talaromyces marneffei infection, 21 specimens(70.0%) were detected by fungal fluorescent staining, 14 specimens(46.7%) by GMS staining, and 6 specimens(20.0%) by PAS staining. The detection rate of fungal fluorescence staining was significantly higher than that of GMS staining and PAS staining(P<0.01).Conclusion: The fungal fluorescence staining has a detection rate higher than PAS staining and GMS staining in histopathology diagnosis of IFIs and is a rapid and efficient method for the histopathological diagnosis of IFIs.

     

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