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刘立宾,叶华丽,胡建成,何月龙,范大鹏.支气管肺泡灌洗液TB-DNA测定与 其它TB检测方法比较研究[J].浙江中西医结合杂志,2013,23(2):95-97
支气管肺泡灌洗液TB-DNA测定与 其它TB检测方法比较研究
Relationship Between fluorescent quantitative-PCR Detecting Bronchoalveolar Lavage Fluid TuberculosisDNA and other Tuberculosis detecting methods
投稿时间:2012-09-26  
DOI:
中文关键词:  支气管肺泡灌洗液 结核杆菌 荧光定量PCR
英文关键词:tuberculosis bronchoalveolar lavage fluid fluorescent quantitative PCR
基金项目:
作者单位
刘立宾 浙江省中西医结合医院结核实验室 杭州 310003 
叶华丽 浙江省中西医结合医院结核实验室 杭州 310003 
胡建成 浙江省中西医结合医院结核实验室 杭州 310003 
何月龙 浙江省中西医结合医院结核实验室 杭州 310003 
范大鹏 浙江省中西医结合医院结核实验室 杭州 310003 
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中文摘要:
      目的:探讨支气管灌洗液涂片染色、支气管灌洗液培养及痰培养三种方法中结核杆菌阳 性率与支气管灌洗液结核杆菌DNA拷贝数的关系。方法:对199例确诊肺结核患者分别应用荧光 定量聚合酶链反应(FQ-PCR)技术检测支气管灌洗液(BALF)结核分枝杆菌DNA(TB-DNA),并按 TB-DNA拷贝数分为A(1×103~)、B(1×105~)、C(≥1×107)三组,并对所有患者行灌洗液涂片染色、 灌洗液培养及痰培养结核杆菌。结果:灌洗液涂片染色法 A、B、C 三组阳性率分别为 12.0%、 60.2%、92.7%,三组间阳性率比较差异有统计学意义(P<0.05),三组间两两比较差异有统计学意义 (P均<0.05),且阳性率C组>B组>A组;灌洗液培养法A、B、C三组阳性率分别为18.7%、56.6%、 87.8%,三组间差异有统计学意义(P<0.05),两两比较差异有统计学意义(P均<0.05),阳性率C组 >B组>A组;痰培养法A、B、C三组阳性率分别为26.7%、65.1%、82.9%,三组间比较差异有统计学 意义(P<0.05),两两比较差异有统计学意义,A组与B组、A组与C组比较P均<0.05,B组与C组比 较P<0.05。结论:支气管灌洗液涂片染色、灌洗液培养、痰培养结核杆菌阳性率均随支气管灌洗液 中结核杆菌DNA拷贝数递增而增高。
英文摘要:
      Objective:To investigate the relationship between the copy number of tuberculosis-DNA(TB-DNA)in bronchoalveolar lavage fluid (BALF) by fluorescent quantitative PCR (FQ-PCR) and the positive rates of BALF smearing, BALF training,and sputum training. Methods: TB-DNA in BALF from 199 definite tuberculosis pa? tients was determined by FQ-PCR and then all samples were randomly divided into group A(1×103~), group B (1×105~),and group C(≥1×107).All samples were treated with TB BALF smearing,TB BALF training, and TB sputum training. Results: In TB BALF smearing, the positive rate was significantly different in group A,B and C (12.0%,60.2% and 92.7%,respectively, P<0.05), with the highest in group C and the lowest in group A. The pos? itive rate was significantly different in group A, B and C in TB BALF training (18.7%,56.6% and 87.8%, respec? tively, P<0.05) and among them the difference was significant, with the highest in group C and the lowest in group A. The same result was found in TB spurum training(positive rates of group A, B and C were 26.7%, 65.1% and 82.9%, respectively). Conclusion: The positive rates of BALF smearing, BALF training, and sputum training increased with the rise of TB-DNA copy number in BALF.
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