中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
29期
34-36
,共3页
结核抗体试验%TSPOT-TB试验%结核病%诊断价值
結覈抗體試驗%TSPOT-TB試驗%結覈病%診斷價值
결핵항체시험%TSPOT-TB시험%결핵병%진단개치
Tuberculosis antibody test%TSPOT-TB test%Tuberculosis%Diagnostic valu
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。
目的比較結覈抗體試驗與TSPOT-TB試驗對肺結覈病的診斷價值。方法選取2014年1月~2015年1月我院收治的疑似肺結覈病患者95例,分彆給予結覈抗體試驗與TSPOT-TB試驗檢測,比較兩者診肺斷結覈的敏感性、特異性、暘性預期值、陰性預期值。結果確診為肺結覈72例,TSPOT-TB試驗法敏感性低于結覈抗體試驗法,χ2=1.25,P>0.05,差異不具有統計學意義;TSPOT-TB試驗法陰性預期值高于結覈抗體試驗法,χ2=1.65,P>0.05,差異不具有統計學意義;TSPOT-TB試驗法的特異性、暘性預期值分彆為82.61%、92.45%,高于結覈抗體試驗法,χ2=12.74、χ2=5.04,P<0.05,差異具有統計學意義。結論 TSPOT-TB試驗法具有高敏感性、特異性、暘性預期值高特點,是結覈篩查的有效試驗方法。
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 .