抗生素试验在辅助诊断106例肺涂阴肺结核的价值

摘要

Objective To explore the value of antibiotic trial for the assistant diagnosis of smear negative pulmonary tuberculosis (TB) in low lung field. Methods The data of diagnosis and treatment in 106 cases of suspected pulmonary tuberculosis in this cen ter from January 2008 to June 2011 were retrospectively analyzed. Results The antibiotic trial had the value for assistant diagnosis of smear negative pulmonary TB in lower lung field(P<0. 05). Furthermore,the antibiotic trial combined with PPD test had more value of assistant diagnosis in diagnosing smear negative pulmonary TB than single PPD test(P<0. 05). Conclusion The antibiotic trial displays the value in the assistant diagnosis of the smear negative pulmonary tuberculosis in lower lung field,which simultane ously combined with PPD test can effectively reduce the misdiagnosis rate.%目的 探讨抗生素试验在辅助诊断下肺涂阴肺结核病中的价值.方法 回顾性分析2008年1月至2011年6月陕西省白河县疾病预防控制中心106例可疑肺结核患者诊断治疗资料.结果 抗生素试验辅助诊断在诊断下肺涂阴肺结核时有价值(P＜0.05);此外,抗生素试验联合结核菌素试验(PPD试验)在辅助诊断下肺涂阴肺结核较单用PPD试验更有辅助诊断价值(P＜0.05).结论 抗生素试验在辅助诊断下肺涂阴肺结核中有价值,同时联合PPD试验时能有效减少误诊率.