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[毛细血管显微镜控制下甲襞活检在胶原病和血管炎诊断中的应用]

[Capillary microscopy controlled nail fold biopsy in the diagnosis of collagen disease and vasculitis].

作者信息

von Bierbrauer A, Mennel H D, Leyhe A, von Wichert P

机构信息

Philipps-Universität Marburg.

出版信息

Vasa Suppl. 1991;33:262-3.

PMID:1788705
Abstract

In cases of suspected microangiopathies morphologic abnormal capillaries were identified and marked by nailfold capillary microscopy (NCM). The marked nailfold areas were precisely biopsied and the biopsies were examined by electronic-microscopy and light microscopy (HE and immune-histochemical). Histological findings well correlated with clinical and capillaroscopical findings. It is concluded that NCM-assisted nailfold biopsy helps to achieve histologic proof of microangiopathies and improves diagnostic accuracy in collagen vascular diseases and vasculitides.

摘要

在疑似微血管病变的病例中,通过甲襞毛细血管显微镜检查(NCM)识别并标记形态异常的毛细血管。对标记的甲襞区域进行精确活检,并通过电子显微镜和光学显微镜(苏木精-伊红染色和免疫组织化学染色)对活检组织进行检查。组织学结果与临床和毛细血管镜检查结果密切相关。结论是,NCM辅助的甲襞活检有助于获得微血管病变的组织学证据,并提高胶原血管疾病和血管炎的诊断准确性。

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