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HLA-B27/B7抗原检测在诊断强直性脊柱炎中的临床价值
引用本文:罗玲,严海燕,罗晓红. HLA-B27/B7抗原检测在诊断强直性脊柱炎中的临床价值[J]. 中国实用医药, 2013, 8(4): 8-9
作者姓名:罗玲  严海燕  罗晓红
作者单位:中山大学孙逸仙纪念医院检验科
摘    要:
目的探讨HLA-B27/B7抗原检测在诊断强直性脊柱炎(AS)中的临床价值。方法选取144例门诊及住院高度疑似AS的患者,应用流式细胞仪对其标本进行HLA-B27/B7抗原检测。结果HLA-B27抗原阳性率在青少年人群比较高,且男性显著高于女性,受检的144例患者,HLA-B27抗原阳性率为63.9%,低于确诊为AS的阳性率(91.1%)。HLA-B27抗原检测对诊断AS的灵敏度为91.1%(82/90),特异度为81.5%(44/54),正确率为87.5%(126/144)。结论 HLA-B27抗原与AS密切相关,对临床诊断AS很有帮助,用流式细胞术进行检测是较好的方法。

关 键 词:强直性脊柱炎  流式细胞术  HLA-B27

The clinical value of HLA-B27/B7 in the diagnosis of ankylosing spondysis
LUO Ling,YAN Hai-yan,LUO Xiao-hong. The clinical value of HLA-B27/B7 in the diagnosis of ankylosing spondysis[J]. China Practical Medical, 2013, 8(4): 8-9
Authors:LUO Ling  YAN Hai-yan  LUO Xiao-hong
Affiliation:,Sun YAT-SEN memorial hospital Sun YAT-SEN University,Guangzhou 510120,China
Abstract:
Objective To discuss the significance of detection of HLA-B27/B7 in clinical diagnosis of ankylosing spondysis.Methods Flow cytometry was used to detect the HLA-B27/B7 antigen.Results The HLA-B27 positive rate of all patients was 63.9%,which is higher in youths and men,and it was lower than AS patients' positive rate(91.1%).The sensitive of HLA-B27 antigen in diagnosis of AS was 91.1%(82/90),the specificity was 81.5%(44/54),and the accuracy was 87.5%(126/144).Conclusion The HLA-B27 antigen is highly related to the AS,and helpful to the diagnosis of ankylosing spondysis.The flow cytometry is a good method to the detection of HLA-B27 antigen.
Keywords:Flow cytometry  Ankylosing spondysis(AS)  HLA-B27
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