解放军医药杂志Issue(7):91-94,4.DOI:10.3969/j.issn.2095-140X.2014.07.023
检测尿液脂阿拉伯甘露聚糖对结核病诊断价值的荟萃分析
Value of Urine Lipoarabinomannan in Diagnosis of Tuberculosis:a Meta-analysis
陈伏香 1龚亚男 2张海飞1
作者信息
- 1. 611930 四川 彭州,彭州市中医医院内1科
- 2. 611930 四川 彭州,彭州市中医医院急诊科
- 折叠
摘要
Abstract
Objective To evaluate the value of urine lipoarabinomannan (LAM) assay in diagnosis of tuberculo-sis. Methods Papers of urine LAM assay in diagnosis of tuberculosis were collected. The pooled sensitivity, specificity and other diagnostic indexes in the study were calculated. Summary receiver operating characteristic (SROC) curve was drawn, and the area under the curve was also calculated. Results Twelve research papers were included in the meta-a-nalysis. The pooled sensitivity of urine LAM assay in diagnosis of tuberculosis was 0. 53, and 95℅ confidence interval (CI) was 0. 51 -0. 56; pooled specificity was 0. 91, and 95℅ CI was 0. 90 -0. 92; positive likelihood ratio was 6. 28 with 4. 11 -9. 61 of 95℅ CI, while negative likelihood ratio was 0. 50 with 0. 36 - 0. 69 of 95℅ CI; diagnostic odds ratio was 14. 84 with 7. 94 -27. 74 of 95℅ CI. The area under the curve of SROC was 0. 85. Conclusion Urine lipoarabinomannan assay plays a certain role in diagnosis of tuberculosis, and may be a useful important diagnostic index for tuberculosis.关键词
尿/脂阿拉伯甘露聚糖/结核/meta 分析Key words
Urine/Lipoarabinomannan/Tuberculosis/Meta-analysis分类
医药卫生引用本文复制引用
陈伏香,龚亚男,张海飞..检测尿液脂阿拉伯甘露聚糖对结核病诊断价值的荟萃分析[J].解放军医药杂志,2014,(7):91-94,4.