摘要
目的研究腺苷脱氨酶(ADA)和干扰素-γ联合检测对结核性胸膜炎诊断价值。方法检测60例呼吸内科患者胸腔积液中ADA活性和干扰素-γ水平。并绘制ADA活性和干扰素-γ水平两者单项指标的ROC曲线。结果结核性胸液组的ADA和干扰素-γ高于恶性胸液组(P<0.001);ROC曲线显示两项指标均具有较高的敏感性和特异性,ADA的诊断价值高于IFN-γ;ADA和干扰素-γ联合检测优于单项。结论 ADA检测可作为结核性胸膜炎的重要指标,ADA和IFN-γ联合检测可以提高诊断试验的效率。
Objective To research the identification and diagnosis value of the joint detection of adenosine deaminase activity and IFN-γ on tuberculous pleurisy. Methods ADA activity and IFN-γ were detected in 60 respiration medicine patients＇ pleural effusion and the ROC curve of single index between ADA activity and IFN-γ, was draw. Results The pleural fluid levels of adenosine deaminase and IFN-γ were significantly higher in the tuberculous pleuritis group than that in the malignant pleuritis group （ P 〈 0. 001 ）. ROC curve showed that two indexes both had the character of sensibility and specificity. The diagnosis value of ADA was higher than that of IFN-γ and joint detection was better than the single index. Conclusion Detection of ADA in pleural fluid can be regarded as one important index to diagnose tuberculous pleurisy. Joint detection of adenosine deaminase activity and interferon-γ in tuberculous pleural effusions can improve the efficiency of diagnostic tests.
出处
《临床肺科杂志》
2012年第12期2211-2212,共2页
Journal of Clinical Pulmonary Medicine
