CAJ | 학술논문

目的比较结核抗体试验与TSPOT-TB试验对肺结核病的诊断价值。方法选取2014年1月～2015年1月我院收治的疑似肺结核病患者95例，分别给予结核抗体试验与TSPOT-TB试验检测，比较两者诊肺断结核的敏感性、特异性、阳性预期值、阴性预期值。结果确诊为肺结核72例，TSPOT-TB试验法敏感性低于结核抗体试验法，χ2=1.25，P＞0.05，差异不具有统计学意义；TSPOT-TB试验法阴性预期值高于结核抗体试验法，χ2＝1.65，P＞0.05，差异不具有统计学意义；TSPOT-TB试验法的特异性、阳性预期值分别为82.61%、92.45%，高于结核抗体试验法，χ2=12.74、χ2=5.04，P＜0.05，差异具有统计学意义。结论 TSPOT-TB试验法具有高敏感性、特异性、阳性预期值高特点，是结核筛查的有效试验方法。
목적비교결핵항체시험여TSPOT-TB시험대폐결핵병적진단개치。방법선취2014년1월～2015년1월아원수치적의사폐결핵병환자95례，분별급여결핵항체시험여TSPOT-TB시험검측，비교량자진폐단결핵적민감성、특이성、양성예기치、음성예기치。결과학진위폐결핵72례，TSPOT-TB시험법민감성저우결핵항체시험법，χ2=1.25，P＞0.05，차이불구유통계학의의；TSPOT-TB시험법음성예기치고우결핵항체시험법，χ2＝1.65，P＞0.05，차이불구유통계학의의；TSPOT-TB시험법적특이성、양성예기치분별위82.61%、92.45%，고우결핵항체시험법，χ2=12.74、χ2=5.04，P＜0.05，차이구유통계학의의。결론 TSPOT-TB시험법구유고민감성、특이성、양성예기치고특점，시결핵사사적유효시험방법。
Objective Compare the clinical value of tuberculosis antibody test and TSPOT-TB test for diagnosis of pulmonary tuberculosis.Methods Selected 95 cases of suspected tuberculosis patients from January 2014 to January 2015 in our hospital, Use respectively tuberculosis antibody test and TSPOT-TB test, The sensitivity, speciifcity, positive and negative predictive value of the diagnosis of pulmonary tuberculosis were compared. Results 72 cases were diagnosed as pulmonary tuberculosis. The sensitivity of TSPOT-TB test was less than tuberculosis antibody test, χ2=1.25,P>0.05, had no difference statistically signiifcance, The negative predictive value of TSPOT-TB test was higher than tuberculosis antibody test, χ2=1.65, P>0.05, had no difference statistically significance, The specificity and the positive predictive value of TSPOT-TB test were 82.61% and 92.45% higher than that of tuberculosis antibody test, χ2=12.74, χ2=5.04,P<0.05, had no difference statistically signiifcance.Conclusion TSPOT-TB test is high sensitive , speciifc, high positive expected value,and it is an effective method for the screening of tuberculosis .