Tsport在肺结核及肺外结核诊断中的价值

发布时间：2018-02-24 15:27

本文关键词： 结核病结核感染T细胞斑点试验法结核菌试验法　出处：《中国实用医药》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨肺结核及肺外结核诊断中采用结核感染T细胞(Tsport)检测的临床意义。方法 200例疑似结核患者,分别采用结核菌试验法(TST法)与结核感染T细胞(Tsport)检测法进行检测,对比两种检测方法对结核诊断的特异性、灵敏性、假阴性率以及假阳性率。结果 200例患者共有62例确诊,包括53例肺结核患者和9例肺外结核患者;采用两种检测方法后,Tsport法诊断肺结核及肺外结核的灵敏性、特异性、阳性预测值、阴性预测值、约登指数均明显高于TST法,差异均有统计学意义(P0.05)。结论 Tsport检测是较灵敏和特异的快速检测结核分枝杆茵感染的方法 ,可用于结核病的快速诊断,对控制活动性结核的发生与再发生、潜伏性结核感染的预防、肺外结核的辅助诊断等具有重要意义。
[Abstract]:Objective to explore the clinical significance of T cell sport in the diagnosis of pulmonary tuberculosis and extrapulmonary tuberculosis. Methods 200 patients with suspected tuberculosis were detected by tuberculous bacteria test (TST) and tuberculosis infection by T cell sport (Tsport). The specificity, sensitivity, false negative rate and false positive rate of the two methods were compared. Results 62 cases were diagnosed in 200 cases, including 53 cases of pulmonary tuberculosis and 9 cases of extrapulmonary tuberculosis. The sensitivity, specificity, positive predictive value, negative predictive value and Yorden index of the two methods for the diagnosis of pulmonary tuberculosis and extrapulmonary tuberculosis were significantly higher than those of TST. Conclusion Tsport detection is a sensitive and specific method for rapid detection of infection of Mycobacterium tuberculosis, which can be used for rapid diagnosis of tuberculosis and control of occurrence and recurrence of active tuberculosis. The prevention of latent tuberculosis infection and the auxiliary diagnosis of extrapulmonary tuberculosis are of great significance.
【作者单位】：辽宁省锦州市传染病医院结核内二科;
【分类号】：R52

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