结核抗体滴金免疫法测定对结核性胸膜炎的诊断分析  

Determination of antibody to tuberculosis by dot immunogold filtration assay in tuberculosis pleurisy

作　　者：沈丽[1] 王宇[1] 孔德萍[1] 

机构地区：[1]重庆市肺科医院,重庆400020

出　　处：《上海医学检验杂志》2002年第3期140-141,共2页Shanghai Journal of Medical Laboratory Sciences

摘　　要：目的　了解结核抗体 (TB Ab)对结核性胸膜炎的诊断价值。方法　用滴金免疫法测定试剂对 16 7例结核性胸膜炎和 31例非结核性胸膜炎患者分别测定胸水、血清中的TB Ab并进行回顾性调查分析 ,统计试验资料。结果　 16 7例结核性胸膜炎患者胸水、血清中TB Ab的阳性率分别为 6 2 .9%、70 .1% ,胸水和 /或血清检测TB Ab诊断结核性胸膜炎敏感性为 73.6 % (12 3/ 16 7) ;胸水、血清TB Ab检测诊断结核性胸膜炎的特异性分别为 93.5 %、90 .3%。 31例非结核性胸膜炎患者的阳性率分别为 6 .5 %和 9.7%。结论　胸水及血清TB Ab检测对结核性胸膜炎诊断和鉴别诊断有一定的临床价值。Objective To investigate the diagnostic value of TB Ab in TB pleurisy. Methods To measure TB Ab in pleural effusion and in serum of 167 TB pleurisy patients by dot immunogold filtration assay. Results The positive rates of TB Ab in pleural effusion and in serum of 167 cases were 62.9% and 70.1% respectively. Conclusion TB Ab measuring in pleural effusion and in serum is useful in the diagnosis of TB pleurisy.

关 键 词：结核抗体 滴金免疫法 测定 结核性胸膜炎 诊断 

分 类 号：R521.7[医药卫生—内科学]