CAJ | 학술논문

目的：对比研究组合抗原金标渗滤（DIGFA ）法与影像学对两型包虫病的诊断价值。方法对病理检查确诊的包虫病患者167例，分别行DIGFA诊断（DIGFA组）和影像学诊断（影像学组），然后进行对比研究。结果囊型包虫病（CE）中DIG-FA组确诊率为74．60％，影像学组确诊率为90．48％（P＜0．01）；泡型包虫病（AE）中DIGFA组确诊率为92．68％，影像学组确诊率为73．17％（P＜0．05）。在包囊小于5 cm时，DIGFA 组AE和CE的检出率分别为91．67％和61．11％（P＜0．05），在包囊为5～＜10 cm 时，DIGFA 组 AE和CE的检出率分别为94．12％和71．43％（P＜0．05）；DIGFA 组 CE在包囊大于或等于10 cm、＜5 cm和5～＜10 cm的检出率为94．12％、61．11％和71．43％（P＜0．05）；DIGFA组 AE和CE总确诊率分别为92．68％，74．60％（P＜0．05）。结论影像学对CE确诊率高；DIGFA对AE确诊率高，特别是对AE早期诊断更加有临床意义。在影像学诊断的基础上，辅以DIGFA有益于准确判断两型包虫病。
목적：대비연구조합항원금표삼려（DIGFA ）법여영상학대량형포충병적진단개치。방법대병리검사학진적포충병환자167례，분별행DIGFA진단（DIGFA조）화영상학진단（영상학조），연후진행대비연구。결과낭형포충병（CE）중DIG-FA조학진솔위74．60％，영상학조학진솔위90．48％（P＜0．01）；포형포충병（AE）중DIGFA조학진솔위92．68％，영상학조학진솔위73．17％（P＜0．05）。재포낭소우5 cm시，DIGFA 조AE화CE적검출솔분별위91．67％화61．11％（P＜0．05），재포낭위5～＜10 cm 시，DIGFA 조 AE화CE적검출솔분별위94．12％화71．43％（P＜0．05）；DIGFA 조 CE재포낭대우혹등우10 cm、＜5 cm화5～＜10 cm적검출솔위94．12％、61．11％화71．43％（P＜0．05）；DIGFA조 AE화CE총학진솔분별위92．68％，74．60％（P＜0．05）。결론영상학대CE학진솔고；DIGFA대AE학진솔고，특별시대AE조기진단경가유림상의의。재영상학진단적기출상，보이DIGFA유익우준학판단량형포충병。
Objective To compare and study the value of multiple antigens dot immunogold filtration assay (DIGFA ) and ima-ging diagnosis for rapid diagnosis of two kinds of echinococcosises .Methods 167 cases of hydatid patients diagnosied by pathologi-cal examination were divided into the DIGFA group for diagnosis of DIGFA and the control group for imaging diagnosis .Results The diagnosis rate of cystic echinococcosis (CE) in the DIGFA group was 74 .60% and control group was 90 .48% (P<0 .01);the diagnosis of alveolar echinococcosis(AE) in the DIGFA group was 92 .68% and the control group was 73 .17% (P<0 .05);when the cystica<5 cm ,the diagnosis rate of AE and CE in the DIGFA group was 91 .67% and 61 .11% (P<0 .05) ,when the cystica 5- <10 cm ,the detection rate of AE and CE in the DIGFA group was 94 .12% and 71 .43% (P<0 .05) .When the cystica≥10 cm ,<5 cm or between 5 - < 10 cm ,the detection rate of CE in DIGFA group was 94 .12% ,61 .11% ,71 .43 ,respectively (P<0 .05);The totle detection rates of the AE and CE in DIGFA group were 92 .68% and 74 .60% (P<0 .05) .Conclusion Imaging di-agnosis for the CE was higher and the DIGFA diagnosis for the AE was higher and the DIGFA also had clinical significance espe-cially applicated to the early diagnosis of AE .With the help of the imaging diagnosis ,the DIGFA could diagnose two kinds of echi-nococcosises correctly and it provided the benefits of specificity and sensitivity and performed easily .