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目前沙眼之诊断全凭肉眼观察,主观成分太重。同一病人,不同医生可得不同之诊断:或是同一医生,前后诊断也有不同。这对于沙眼病原、症状、治疗、预防及调查均有很大影响。长期以来,沙眼工作者均努力寻找一种客观的诊断依据,作为沙眼之辅助诊断工具。关于沙眼结膜刮片细胞学的研究,文献已有不少报导,对其诊断价值,尚未定论,也很少用于临床。为了解决沙眼之诊断和鉴别诊断,作者近几年来进行了结膜表层刮片细胞学研究,结果提示细胞学检查可作为沙眼之辅助和鉴别诊断。
The current diagnosis of trachoma is based on the naked eye, subjective composition is too heavy. The same patient, different doctors can get different diagnosis: or the same doctor, before and after the diagnosis is also different. This has a great impact on the pathogen, symptoms, treatment, prevention and investigation of trachoma. For a long time, trachoma workers are trying to find an objective basis for diagnosis, as trachoma assistance diagnostic tool. On the trachoma conjunctival smear cytology, the literature has been reported in many, its diagnostic value, not yet conclusive, and rarely used in clinical. In order to solve the diagnosis and differential diagnosis of trachoma, the author conducted conjunctival surface smear cytology in recent years, the results suggest that cytology can be used as auxiliary and differential diagnosis of trachoma.