摘要
Abstract
To analyze clinical diagnosis methods of tuberculous peritonitis( TBP ). Methods:The data of 79 TBP patients was collected and analyzed in respects of clinical manifestations, serologic index, biochemistry test of ascites, iconography, T-SPOT. TB and peritoneoscope. Results: The peak age of onset was between 20 and 45 years. The male to female ratio was 111. 55. Abdominal distention, abdominal pain and malaise were the most common clinical features. Routine blood test was abnormal in 44. 30% ( 35/79 ), blood sedimentation rate increased in 56. 25% ( 36/64 ), tuberculosis three i-tems examinations were positive in 56. 72%( 38/67 ), ascites carcinoembryonic antigen 125 increased in 73. 68%( 42/57 ), positive B ultrasonic of abdomen in 60.00%( 39/65 ),and positive CT of the abdomen in 52. 82%( 28/53 ). Activity of ascites adenosine deaminase( ADA ) increased in 80.70% ( 46/57 ), T-SPOT. TB was positive in 91.43% ( 32/35 ), and peritoneoscopy was positive in 92. 85% ( 26/28 ). The result of ascites ADA activity was consistent poorly to peritoneoscopy( kappa = 0.352,P =0.043 ), and T-SPOT. TB result was consistent well to peritoneoscopy( kappa =0. 625,P =0.001 ). Conclusion:T-SPOT. TB is a new noninvasive and sensitive index for the diagnosis of TBP. Accurate diagnosis rate of TBP should be made on the basis of clinical characteristics, auxiliary examinations and the efficacy of anti-tuberculous therapy.关键词
Poisson分布/负二项分布/狂犬病/空间聚集性/河南省Key words
tuberculous peritonitis/diagnosis/enzyme-linked immunospot assay/peritoneoscopy分类
医药卫生
