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检测梅毒的几种试验方法的对比评价
引用本文:刘绚,石姜,王毅. 检测梅毒的几种试验方法的对比评价[J]. 现代检验医学杂志, 2001, 16(2): 15-16
作者姓名:刘绚  石姜  王毅
作者单位:1. 重庆市第三人民医院,
2. 重庆医科大学附属第二医院,
摘    要:目的探求目前梅毒血清学试验的最佳选择。方法用TRUST、TPHA、TP-ELISA、TP-PCR四种方法,对55例血清标本进行对比检测。结果TRUST法的敏感性为71.4%,特异性为95.0%;TPHA法敏感性和特异性均达100%;TP-ELISA及TP-PCR的敏感性及特异性均低,属试剂盒质量问题。结论建议对初检患者,尤其是高危人群,宜选用TPHA法检测,以提高初检结果的检出率和可靠性,对其结果阳性者,再即查TRUST或RPR法,以随访对比观察疗效、复发及再感染。

关 键 词:梅毒;TPHA;TRUST;TP-ELISA;TP-PCR
文章编号:1005-1716(2001)02-015-02
修稿时间:2000-08-14

Contrastable Evaluation of Seveal Laboratory Methods for Detecting Treponema Pallidum
LIU Xuan,SHI Jiang,WANG Yi. Contrastable Evaluation of Seveal Laboratory Methods for Detecting Treponema Pallidum[J]. Journal of Modern Laboratory Medicine, 2001, 16(2): 15-16
Authors:LIU Xuan  SHI Jiang  WANG Yi
Affiliation:LIU Xuan 1,SHI Jiang 2,WANG Yi 2
Abstract:Aim To search the best serological detection for Treponema Pallidum.Methods Performing contrastable detection on 55 serum samples with the TRUST,TPHA,TP-ELISA and TP-PCR four methods.Results The sensitivity of TRUST was 71.4% and the specificity was 95.0%.The sensitivity and the specificity of TPHA were both 100%,but the sensitivity and specificity of TP-ELISA and TP-PCR were both not high for the poor quality of the reagents.Conclusion TPHA is the best choice for patients of first visit to a doctor,especially for the highly dangerous crowd for increasing it is isolated rate.If it is a possitive result,test it again with TRUST or RPR in order to observe the treated effects、relapse and re-infection.
Keywords:Treponema Pallidum  TPHA  TRUST  TP-ELISA  TP-PCR
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