Valueanalysisof3methodsinthediagnosisoftuberculouspleurisy

doi:10.3969/j.issn.10073205.2016.07.020

Abstract

Abstract: [
Abstract ] Objective ToevaluatetheclinicalvalueofXpert MTB / RIFassay , levelof
adenosinedeaminase ( ADA ) methodandT-SPOT.TBmethodindiagnosisoftuberculouspleurisy.
Methods Atotalof109patientswithtuberculouspleurisywereenrolledinthisretrospective
study , andtheirpleuraleffusionweregivenXpertMTB
/ RIFassayandthelevelsofADA were
measured.The whole blood was detected by T-SPOT.TB method.Results There were
significantdifferencesin MTB / RIF Xpertsystem and ADA activity detection method , T-
SPOT.TBmethod , ADAactivitydetectioncombinedT-SPOT.TB method ( P <0.05 ) .There
weresignificantdifferencesinADA activityassay , T-SPOT.TB assay , ADA activityassay
combinedwithT-SPOT.TB method ( P >0.05 ) .Conclusion Becausethetuberculouspleural
effusionisstimulatedandmycobacteriumtuberculosiscontainsverylittlepleuraleffusion , the
positiverateoftheapplicationofXpertMTB / RIFsysteminhydrothoraxdetectionislow , the
significanceinthediagnosisoftuberculouspleurisybythismethodislimited.Thepositiverateof
ADAactivityandT-SPOT.TBtestishigh , andthejointdetectionanddiagnosiseffectisbetter indicatingADAactivityandT-SPOT.TBtestarevaluablemethodsindiagnosisoftuberculous
pleurisy.

Key words: tuberculosis, pleural, hydrothorax, diagnosis

ZHENG Liheng1， LIU Xiaojin2, LIU Hui3， ZHANG Xiaoguang4*. Valueanalysisof3methodsinthediagnosisoftuberculouspleurisy[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2016.07.020.

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Valueanalysisof3methodsinthediagnosisoftuberculouspleurisy

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