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目的探讨ICT-TB卡、MycoDot联合检测对结核性盆、腹腔积液的临床诊断价值。方法2001年7月至2003年7月在解放军总医院第二附属医院采用ICT-TB卡、MycoDot检测24例结核性及14例非结核性盆、腹腔积液中的结核抗体。结果ICT-TB卡血液及腹腔液检测敏感性分别为64·3%和89·3%,特异性为95·8%和100%,腹腔液中阳性检出率明显高于血液(P<0·05);MycoDot血液及腹腔液检测敏感性分别为78·6%和92·9%,特异性分别为87·5%和91·7%。血液及腹腔液结核抗体检测两种方法同时阳性反应一致性分别为60·7%和75·0%,特异性均达到100%。结论ICT-TB卡、MycoDot联合检测诊断结核性盆、腹腔积液,具有很好的敏感性、特异性,检测方法简便、快捷,具有一定的临床推广价值。
Objective To investigate the diagnostic value of ICT-TB card and MycoDot combined detection on tuberculosis pelvic and ascitic fluid. Methods From July 2001 to July 2003, ICT-TB card was used in the Second Affiliated Hospital of People’s Liberation Army General Hospital. MycoDot was used to detect tuberculosis antibody in 24 cases of tuberculosis and 14 cases of non-tuberculous pelvic and ascitic fluid. Results The sensitivity of detection of ICT-TB card in blood and peritoneal fluid was 64.3% and 89.3% respectively, the specificity was 95.8% and 100% respectively. The positive rate in peritoneal fluid was significantly higher than that in blood (P <0) · 05). The detection sensitivity of MycoDot in blood and peritoneal fluid was 78.6% and 92.9% respectively, with specificity of 87.5% and 91.7% respectively. Blood and peritoneal fluid tuberculosis antibody detection of both methods simultaneously positive response was 60.7% and 75.0%, respectively, the specificity of 100%. Conclusion ICT-TB card, MycoDot joint detection of tuberculosis tuberculosis, ascites, with good sensitivity and specificity, detection method is simple, fast, and has some clinical value.