中国冶金工业医学杂志

T\|SPOT. TB试验在临床诊断结核性胸膜炎中的应用

作者：郭翠凤蔺盛勋

分类号：R 56

出版年,卷(期):页码：2016,33(6):630-631

摘要：

目的探讨胸腹水结核斑点试验（T\|SPOT. TB）在诊断结核性胸膜炎中的临床应用价值。方法本组受试者共75例，其中确诊结核性胸膜炎患者41例，疑似结核性胸膜炎结核患者34例，分别对两组患者外周血和胸腹水进行T\|SPOT. TB检测，评价其敏感性、优越性。结果结核性胸膜炎组的外周血和胸腹水阳性率分别为90.2 %和97.6 %，疑似结核性胸膜炎结核组外周血和胸腹水阳性率分别为67.6 %和82.4 %。结论在临床诊断结核性胸膜炎的检查中，胸腹水比外周血检测敏感性更高。

关键词：结核性胸膜炎诊断；结核斑点实验；外周血；胸腹水

Abstract: ObjectiveTo analysis the value of T\|SPOT.TB in the diagnosis of tuberculous pleurisy. Methods75 cases were seleced, in which 41 cases were diagnosed and 34 cases were suspected diagnosed of tuberculous pleurisy, the peripheral blood and ascites and pleural effusion were detected by T\|SPOT.TB test, the sensitivity and superiority were evaluated.ResultsIn the tuberculous pleurisy group, the positive rates of peripheral blood and ascites and pleural effusion were 976% and 902%. In the suspected tuberculous pleurisy group, the positive rate of peripheral blood and ascites and pleural effusion were 676% and 824%. ConclusionThe sensitivity of ascites and pleural effusion is higher than peripheral blood in clinical diagnosis of tuberculous pleurisy.

Key Words: Tuberculous pleurisy diagnosis；T\|SPOT. TB；Peripheral blood cells； Ascites and pleural effusion

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参考文献：

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\[2\]王永生，周航，刘蔺，等. T\|SPOT.TB试验在结核性脑膜炎诊断中的价值\[J\].中国卫生标准，2014，(23):68\|71.

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