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目的 :对 81例结核病患者同时进行结明试验及结素试验评价其诊断价值。方法 :应用美国DynaGen公司生产的结明 (MycoDotTM)快速诊断试剂盒检测LAM抗体。应用北京高科生命科学技术开发公司生产的5 0IU/ml人型———结核菌素纯蛋白衍化物行结素试验。结果 :结素试验敏感度为 74.1% ,但其中强阳性仅为2 4.7% ,假阳性为 18.5 % ;结明试验敏感度为 5 5 .6 % ,假阳性为 44 .8%。结明试验与结素试验检测结果的符合率为 35 .8% ,结明试验对活动性结核病诊断的敏感度高于结素试验。结论 :结素与结明试验各有利弊 ,在临床应用上两者应结合起来。
OBJECTIVE: To evaluate the diagnostic value of 81 cases of tuberculosis patients by means of conjunctival test and tuberculous test. Methods: The LAM antibody was detected by MycoDotTM Rapid Diagnostic Kit manufactured by DynaGen Company in USA. Application of Beijing Hi-Tech Life Science and Technology Development Company produced 50IU / ml human --- tuberculin pure protein derivative line knot test. Results: The sensitivity of knot test was 74.1%, but the strong positive was only 2 4.7% and the false positive was 18.5%. The sensitivity of knot test was 55.6% and the false positive was 44.8%. Conclusions test results and knot test results in line with the rate of 35.8%, conclusive test for active tuberculosis diagnosis sensitivity than the knot test. Conclusion: Results of the knot and knot have their own advantages and disadvantages, both in clinical application should be combined.