血清结核抗体与痰涂片诊断结核病的价值及准确性比较

Comparison of Value and Accuracy of the Serum Antibody and Sputum Smear in Diagnosis of Pulmonary Tuberculosis

目的:研究血清结核抗体与直接痰涂片法对结核病的诊断的价值及准确性。方法:选取2014年1-10月笔者所在医院收治的90例疑似肺结核病患者,随机分为对照组和观察组,其中观察组45例,采用血清结核抗体实验检测,对照组45例,选择直接痰涂片法检测。结果:观察组血清结核抗体阳性32例,阳性率71.1%,对照组痰涂片阳性14例,阳性率为31.1%,差异有统计学意义(P<0.05),观察组血清结核抗体检测准确性68.9%,对照组血清痰涂片检测准确性82.2%,差异有统计学意义(P<0.05)。结论:用血清结核抗体检测肺结核患者的方法有明显优势,血清痰涂片虽然准确度较高,但容易漏诊,临床上可综合两者检测方法检测结核病。

Objective：To study the diagnosis value and accuracy of serum antibody and sputum smear in diagnosis of tuberculosis.Method：Ninety cases which seemed like tuberculosis in our hospital from January 2014 to October 2014 were randomly divided into the control group and the observation group,the observation group was detected by serum antibody test,the control group was chosed the direct sputum smear testing.Result：The serum antibody positive in the observation group were 32 people,the positive rate was 71.1%,the number of sputum smear-positive in the control group was 14 people,the positive rate was 31.1%,there was statistically significant difference in the two groups（P〈0.05）,the serum tuberculosis antibody detection accuracy was 68.9% in the observation group,the serum sputum smear test accuracy was 82.2% in the control group,there was significant difference in two groups（P〈0.05）.Conclusion：The serum antibody in patients with pulmonary tuberculosis has obvious advantages,serum smear although has the higher accuracy,but it is an easily missed method,both testing methods can be integrated in clinical diagnosis of tuberculosis.