目的了解武汉地区浅部真菌病发病情况,并评估直接镜检法对浅部真菌病的诊断意义。方法对1048例临床拟诊断为浅部真菌病者进行真菌直接镜检。结果浅部真菌病发病率以手足癣(41.9%)、股癣(19.1%)、体癣(16.9%)为前三位。镜检总阳性率为52.7%,以股癣(73.5%)、体癣(73.5%)、花斑癣(67.4%)阳性率为前三位。镜检阳性率受病种、性别、年龄、取材部位等因素的影响。结论直接镜检作为真菌检查法简便易行,值得临床使用。 Objective To understand the incidence of superficial fungal disease in Wuhan and to evaluate the diagnostic value of direct microscopy for superficial mycosis. Methods A total of 1048 cases of clinical diagnosis of superficial mycosis were collected for direct microscopic examination of fungi. Results The prevalence of superficial fungal diseases was hand, foot and ringworm (41.9%), jock itch (19.1%) and body tinea (16.9%). The positive rate of microscopic examination was 52.7%. The positive rates of tinea corporis (73.5%), tinea corporis (73.5%) and pityriasis versicolor (67.4%) were the top three. The positive rate of microscopic examination by the disease, gender, age, drawing site and other factors. Conclusion Direct microscopic examination as a fungal examination method is simple and convenient, it is worth clinical use.