中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
10期
1758-1759
,共2页
结核%抗体%细菌
結覈%抗體%細菌
결핵%항체%세균
Tuberculosis%Antiboies,bacterial
目的 探讨结核抗体(TB-Ab)检测在结核病诊断中的意义.方法 对564例患者进行血清或胸(腹)水TB-Ab检测,其中活动性结核患者508例,非结核患者56例.结果 活动性结核患者中,涂阳肺结核TB-Ab阳性率为70.8%;涂阴结核并胸水32例,腹水4例,腹水或胸水TB-Ab(阳性率为44.4%,另424例涂阴结核TB-Ab阳性168例,阳性率39.6%,活动性结核TB-Ab总阳性率约42.9%.非结核患者假阳性率为10.7%.结核患者与非结核患者TB-Ab检测有显著差异(χ2=22.65,P<0.01).结论 TB-Ab检测对活动性结核的诊断有价值,但敏感性较低,可作为结核病的快速辅助诊断手段,但尚须临床进一步研究.
目的 探討結覈抗體(TB-Ab)檢測在結覈病診斷中的意義.方法 對564例患者進行血清或胸(腹)水TB-Ab檢測,其中活動性結覈患者508例,非結覈患者56例.結果 活動性結覈患者中,塗暘肺結覈TB-Ab暘性率為70.8%;塗陰結覈併胸水32例,腹水4例,腹水或胸水TB-Ab(暘性率為44.4%,另424例塗陰結覈TB-Ab暘性168例,暘性率39.6%,活動性結覈TB-Ab總暘性率約42.9%.非結覈患者假暘性率為10.7%.結覈患者與非結覈患者TB-Ab檢測有顯著差異(χ2=22.65,P<0.01).結論 TB-Ab檢測對活動性結覈的診斷有價值,但敏感性較低,可作為結覈病的快速輔助診斷手段,但尚鬚臨床進一步研究.
목적 탐토결핵항체(TB-Ab)검측재결핵병진단중적의의.방법 대564례환자진행혈청혹흉(복)수TB-Ab검측,기중활동성결핵환자508례,비결핵환자56례.결과 활동성결핵환자중,도양폐결핵TB-Ab양성솔위70.8%;도음결핵병흉수32례,복수4례,복수혹흉수TB-Ab(양성솔위44.4%,령424례도음결핵TB-Ab양성168례,양성솔39.6%,활동성결핵TB-Ab총양성솔약42.9%.비결핵환자가양성솔위10.7%.결핵환자여비결핵환자TB-Ab검측유현저차이(χ2=22.65,P<0.01).결론 TB-Ab검측대활동성결핵적진단유개치,단민감성교저,가작위결핵병적쾌속보조진단수단,단상수림상진일보연구.
Objective To evaluate the diagnostic value of tuberculosis antibody. Methods 564 patients re-ceived detection of serum,in which,508 cases suffered from active tuberculosis(TB) and 56 cases suffered from non-active TB. Results 508 cases with active TB received detection AB-Ab in serum, 48 cases were bacteriological smear positive cases, the rate of serum TB-Ab positive cases was 70.8% (34/48), the rate of pleural effusion or ascites TB-Ab positive cases was 44.4% (16/36), the rate of serum TB-Ab positive cases in another 424 cases with bacteriologi-cal smear negative TB was 39.6% (168/424). There was significant difference between active TB group and non-ac-tive TB group(χ2= 22.65, P<0.01). Conclusion It is useful for diagnosis of active TB by detecting TB-Ab. It may be a rapid auxilliary diagnostic way in TB diagnosis.
