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目的研究结核性胸膜炎患者实施T-SPOT.TB试验的诊断意义。方法 25例合并胸腔积液的结核性胸膜炎患者作为观察组,另选择同时期25例肺炎渗出性胸膜炎且无原发结核患者作为对照组,对两组胸腔积液实施T-SPOT.TB结核试验,观察记录检测结果。结果观察组检测结果阳性23例,阴性2例,敏感性92.0%(23/25);对照组检测结果阳性5例,阴性20例,敏感性20.0%(5/25)。观察组敏感性大于对照组(P<0.05)。结论对结核性胸膜炎患者实施T-SPOT.TB试验的检测方法可以提高诊断准确性,且该检测方法对结核杆菌敏感性较高。
Objective To study the diagnostic significance of T-SPOT.TB test in patients with tuberculous pleurisy. Methods Twenty-five patients with tuberculous pleurisy with pleural effusion were selected as observation group. Twenty-five patients with pneumonia exudative pleurisy and no primary tuberculosis at the same time were selected as control group. T-SPOT.TB tuberculosis Test, observe and record the test results. Results In the observation group, 23 cases were positive and 2 cases were negative. The sensitivity was 92.0% (23/25). In the control group, 5 cases were positive and 20 cases were negative. The sensitivity was 20.0% (5/25). The sensitivity of the observation group was higher than that of the control group (P <0.05). Conclusion The detection of T-SPOT.TB in patients with tuberculous pleurisy can improve the diagnostic accuracy, and the detection method is more sensitive to Mycobacterium tuberculosis.