Mycetoma is a variety of deep mycoses. The endemic centres are situated in the countries with tropic or subtropic climate. In diagnosis, the important place belongs to microbiological, histological and roentgenological investigations. Surgical treatment supposes the radical removal of a pathological focus in aiming at preservation of the weight-bearing surface of an extremity. In intact skin, the subcutaneous incision of the mycous infiltrate is performed. The extensive soft tissue defects, especially at the region of joints, require primary or secondary autodermoplasty. The medicamentous treatment of fungal mycetomas is ineffective. The positive effect of Ketocanazole (Nizoral) before the operation was noted.
足菌肿是深部真菌病的一种。流行中心位于热带或亚热带气候的国家。在诊断中,微生物学、组织学和放射学检查具有重要地位。手术治疗旨在切除病理病灶以保留肢体的负重面。在完整皮肤处,对真菌浸润进行皮下切开。广泛的软组织缺损,尤其是关节部位的缺损,需要一期或二期自体皮肤移植。真菌性足菌肿的药物治疗无效。术前使用酮康唑(里素劳)有积极效果。