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ABC法与ELISA法诊断人体包虫病的比较研究
引用本文:沈展卿,冯新华,钱中希,刘瑞霖. ABC法与ELISA法诊断人体包虫病的比较研究[J]. 现代免疫学, 1988, 0(1)
作者姓名:沈展卿  冯新华  钱中希  刘瑞霖
作者单位:新疆医学院第一附属医院胸外科(沈展卿,钱中希),新疆医学院寄生虫学教研室(冯新华),新疆医学院第一附属医院胸外科(刘瑞霖)
摘    要:本文应用ABC-ELISA法对101例经手术证实的包虫病人,40例非包虫病患者及61例正常人进行了血清抗细粒棘球蚴(E.g.)特异性抗体检测,并同时行常规ELISA法进行比较。101例包虫病人中ABC法和ELISA法与术后诊断的阳性符合率分别为94.06%和81.19%,对照组假阳性率分别为1.98%和0.99%。两法同为阳性的包虫病人中ABC法检出的抗体滴度为ELISA法的6.70倍。13例ELISA法阴性的包虫病人ABC法阳性,提示ABC法对于那些抗体水平较低的包虫病人可能更具有诊断价值。本实验结果表明:ABC法诊断人体包虫病较ELISA法敏感性高,且具有特异性好、简便、快速的优点。


A COMPARATIVE STUDY OF ABC AND ELISA ON DIAGNOSIS OF HUMAN HYDATIDOSIS
Abstract:The comparative study of ABC-ELISA(Avidin-Biotin-Horseradish Peroxidase Complex-Enzyme Linked Immunosorbent Assay)and standard ELISA was applied for the detection of anti-Echinocoecus granulosus(E.g.)antibody in sera of 101 patients operated on for hydatid disease,40 patients with miscellaneous non-hydatid diseases,and 61 normal subjects.In the former group,the ABC-ELISA and standard ELISA have their respective sensitivity of 94.06% and 81.19%,while in non-hydatidosis groups the detecting specificity was 98.02% and 99.01% respectively.The geometric mean antibody titer detected with ABC-ELISA was 6.70 times of that detected with standard ELISA.13 cases of hydatidosis with ELISA-negative result were positive by ABC-ELISA,indicated that the ABC-ELISA may be of more diagnostic value than the standard ELISA particularly in identification of the cases with lower immune response.Our result showed that the ABC-ELISA system can provide a sensitive,specific,simple and convenient method for the diagnosis of hydatidosis.
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