Study on the value of T-SPOT.TB test in tuberculous pleurisy
10.3969/j.issn.1006-5725.2015.17.021
- VernacularTitle:结核感染T细胞斑点试验对结核性胸膜炎的诊断价值分析
- Author:
Liang GAO
;
Jian ZHENG
;
Qinfang OU
;
Huaxi CHEN
;
Zhiming YU
;
Yanbin CHEN
- Publication Type:Journal Article
- Keywords:
Tuberculous pleurisy;
T-SPOT.TB;
Tuberculosis antibody;
Adenosine deaminase
- From:
The Journal of Practical Medicine
2015;(17):2833-2835
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of T-SPOT.TB test in diagnosis of tuberculous pleurisy by comparing the T-SPOT.TB test, adenosine deaminase (ADA) of hydrothorax and tuberculosis antibody (TB-Ab). Methods 62 pleural effusion patients are included in the research , of which 32 cases have tuberculosis and 30 cases have no tuberculosis. All patients underwent T-SPOT.TB, pleural effusion ADA, and TB-Ab test. The results were compared with final clinical diagnosis for sensitivity and specificity evaluation. Results The sensitivity of T-SPOT.TB, ADA, TB-Ab were 90.6%, 71.9% and 62.5% respectively. The specificity of T-SPOT. TB, ADA, TB-Ab were 90.0%, 83.3% and 86.7% respectively. The sensitivity of T-SPOT.TB was the highest one among the three methods. The sensitivity of T-SPOT.TB has statistically significant difference compared with TB-Ab (P < 0.05), but no statistically significant difference compared with ADA (P > 0.05). Conclusions The T-SPOT.TB test had higher sensitivity and specificity for the diagnosis of tuberculous pleurisy , and had important reference value in early diagnosis of patients with tuberculous pleurisy. The T-SPOT.TB and TB-Ab combination examination had a complementary effect.
