血清及胸水结核抗体联合检测对结核性胸膜炎的诊断价值

The diagnosis value of union detecting tuberculosis antibodies in serum and pleural effusion for tuberculous pleurisy

目的探讨血清及胸水结核抗体联合检测对结核性胸膜炎的诊断价值。方法联合检测118例结核性胸膜炎患者的血清及胸水结核抗体,同时随机选择47例非结核性胸膜炎患者为对照组。观察联合检测的敏感性,并与PPD试验相比较。结果结核性胸膜炎患者血清及胸水结核抗体阳性率(79.7%,70.3%)明显高于结核性胸膜炎患者PPD阳性率(56.8%)(P<0.05);血清及胸水结核抗体联合检测的敏感性(89.8%)明显高于PPD试验的敏感性(56.8%)(P<0.05)。结论血清及胸水结核抗体联合检测对结核性胸膜炎的诊断具有较高价值。

Objective To investigate the value of jointly measuring tuberculosis antibodies in serum and pleural effusion for diagnosing tuberculous pleurisy.Methods The tuberculosis antibodies in serum and pleural effusion in an observation group of 118 patients with tuberculous pleurisy were jointly measured.And a control grouped of 47 non-tuberculosis pleurisy patients was randomly selected for comparison.The sensitivity level of the joint detection system was observed and compared with the result of PPD test.Results The positive rates of tuberculosis antibodies in serum and pleural effusion for tuberculous pleurisy（79.7%,70.3%） were higher than that of PPD test（56.8%）（P0.05）;The sensitivity of jointly measuring tuberculosis antibodies in serum and pleural effusion（89.8%） was higher than that of PPD test（56.8%）（P0.05）.Conclusions The tuberculous pleurisy diagnosis method of jointly measuring tuberculosis antibodies in serum and pleural effusion has notable value.