摘要
Abstract
This article explored the practical value of the combined testing of T-SPOT.TB,SAT,and ADA in the diagnosis of tuberculous pleural effusion.Sixty patients with unexplained pleural effusion were selected as the research subjects.The pleural effusion was collected and tested using T-SPOT.TB,SAT,and ADA.The diagnostic efficacy was calculated based on the gold standard of guideline standards.38 patients were diagnosed with tuberculous pleural effusion using the gold standard,with a positive detection rate of 63.33%.The positive detection rates of T-SPOT.TB and ADA were both lower than that of the gold standard(P<0.05).The positive detection rates of SAT and the combined detection showed no statistically significant difference compared to that of the gold standard(P>0.05).The diagnostic sensitivity,specificity,positive predictive value,and negative predictive value of the combined detection of T-SPOT.TB,SAT,and ADA were higher than those of single testing(P<0.05).In the diagnosis of tuberculous pleural effusion,the combined detection of T-SPOT.TB,SAT,and ADA can achieve high detection accuracy,sensitivity,and specificity,and is worthy of promotion.关键词
结核感染T细胞斑点试验/结核分枝杆菌核酸恒温扩增检测/腺苷脱氨酶/结核性胸腔积液Key words
T-SPOT.TB/SAT/ADA/tuberculous pleural effusion