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肺结核患者痰中结核分枝杆菌检验的应用及阳性率评估

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目的 探究结核分枝杆菌检验对于肺结核的诊断价值.方法 选取2022年1月—2023年6月河池市人民医院收治的200例疑似肺结核患者为研究对象,对所有患者进行Xpert检测,以痰液固体培养为金标准方法,对Xpert检测的诊断效能做出分析.结果 金标准共检出阳性17例,阴性183例,阳性检出率为8.50%;Xpert法共检出阳性24例,阴性176例,阳性检出率为12.00%;Xpert法诊断的灵敏性为94.12%(16/17),特异性为 95.63%(175/183),准确性为 95.50%(191/200),阳性预测值为 66.67%(16/24),阴性预测值为 99.43%(175/176),与金标准之间具有良好的一致性(Kappa值为0.756).结论 Xpert检测方法用于肺结核的诊断具有较高的诊断效能,与金标准之间一致性良好.
Application and Positive Rate Assessment of Mycobacterium Tuberculosis in Sputum of Patients with Pulmonary Tuberculosis
Objective To explore the diagnostic value of mycobacterium tuberculosis test for pulmonary tuberculosis.Methods 200 patients with suspected pulmonary tuberculosis admitted to the People's Hospital of Hechi City from January 2022 to June 2023 were selected as the research objects.Xpert test was performed on all patients,and sputum solid culture was used as the gold standard method to analyze the diagnostic efficiency of Xpert test.Results A total of 17 positive cases and 183 negative cases were detected by gold standard,the positive detection rate was 8.50%.A to-tal of 24 positive cases and 176 negative cases were detected by Xpert,the positive detection rate was 12.00%.The sensitivity of Xpert diagnosis was 94.12%(16/17),the specificity was 95.63%(175/183),the accuracy was 95.50%(191/200),the positive predictive value was 66.67%(16/24),and the negative predictive value was 99.43%(175/176).There is good agreement with the gold standard(Kappa value is 0.756).Conclusion Xpert has a high diagnostic effi-ciency in the diagnosis of pulmonary tuberculosis and is in good agreement with the gold standard.

TuberculosisMycobacterium tuberculosis testDiagnostic effectivenessPositive rate

韦柳曼、夏益贵、梁慧娜

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河池市人民医院,广西河池 547000

肺结核 结核分枝杆菌检验 诊断效能 阳性率

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(4)
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