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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。
Objective To investigate the clinical value of T-SPOT.TB in the diagnosis of tuberculous pleurisy. Methods A total of 75 subjects were included in this study. Among them, 41 cases were diagnosed as tuberculous pleurisy and 34 cases were suspected tuberculous pleurisy tuberculosis. T-SPOT.TB was performed on peripheral blood and pleural and peritoneal fluid to evaluate their sensitivity , Superiority. Results The positive rates of peripheral blood and pleural effusion were 90.2% and 97.6% in tuberculous pleurisy group and 67.6% and 82.4% in peripheral blood and pleural effusion in suspected tuberculous pleurisy tuberculosis group respectively. Conclusions In the clinical diagnosis of tuberculous pleurisy, pleural effusion is more sensitive than peripheral blood.