摘要
目的探讨不同检查方法对肠结核的诊断价值。方法对高度怀疑肠结核的患者34例进行结肠镜、胸腹部X线、病理组织学和结核菌聚合酶链反应（PCR）试验检查，并比较其结果的阳性率。结果病理组织学阳性率82．6％、结核菌PCR阳性率73．9％、结肠镜阳性率52．2％、结核菌素试验（PPD）试验阳性率52．2％、腹部X线阳性率47．8％、假阳性率分别为9．1％、27．3％、18．2％、27．3％和9．1％。34例病理确诊19例（82．6％）明显高于内镜诊断12例（52．2％）（χ^2=4．98，P〈0．05）。结论结肠镜检查诊断肠结核的阳性率不高，病理组织学和结核菌PCR检测可显著提高肠结核的诊断率。
Objective To investigate the value of different methods in diagnosis of intestinal tuberculosis. Methods A total of 34 endoscopic biopsy specimens from patients with of intestinal tuberculosis were subjected to abdominal X-rays,eolonoscopy,pathoassay. Results The positive rate of intestinal tuberculosis by pathological histology colonoscopy,TB-PCR ,abdominal X-rays ,PPD test were 82.6%,52.2% ,73.9% ,47.8% and 52.2% respectively. The false-positive rates were 9.1% ,27.3% ,18.2% ,27.3% and 9.1% ;34 cases among the pathological diagnosis in 19 cases （82.6%） were significantly higher than the endoscopic diagnosis in 12 cases （52.2%） （χ^2 = 4.98, P 〈 0. 05 ）. Conclusions The positive rate of diagnosis of intestinal tuberculosis was not high, histopathologieal and PCR detection can significantly improve the diagnostic rate in patients with intestinal tuberculosis.
出处
《中国基层医药》
CAS
2010年第5期597-598,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
结核
内窥镜检查
诊断
Tuberculosis
Endoscopy
Diagnosis
