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应用平均红细胞体积测定法及红细胞脆性一管定量法筛查地?…
引用本文:Deng J,Liu X,Liu Y. 应用平均红细胞体积测定法及红细胞脆性一管定量法筛查地?…[J]. 中华妇产科杂志, 2000, 35(10): 610-612
作者姓名:Deng J  Liu X  Liu Y
作者单位:中山医科大学孙逸仙纪念医院妇产科
摘    要:目的 探讨平均红细胞体积(MCV)测定法(MCV法)及红细胞脆性一管定量法(一管法)在筛查地中海贫血中的准确性及其应用价值。方法 用MCV法和一管法检查989对夫妇,并随机抽取其中79对进行聚合酶链反应(PCR)法检测,同时检测孕妇血清铁蛋白以排除缺铁性贫血。结果 MCV法的轻型地中海贫血检出率为9.0%、敏感度为98.9%,一管法的轻型地中海贫血检出率为8.1%、敏感度为88.6%,两者比较,差

关 键 词:地中海贫血 产前诊断 红细胞指数 红细胞体积
修稿时间:1999-09-18

Evaluation of red cell mean corpuscular volume and simple tube red cell osmotic fragility quantitative test in detection of thalassemia
Deng J,Liu X,Liu Y. Evaluation of red cell mean corpuscular volume and simple tube red cell osmotic fragility quantitative test in detection of thalassemia[J]. Chinese Journal of Obstetrics and Gynecology, 2000, 35(10): 610-612
Authors:Deng J  Liu X  Liu Y
Affiliation:Department of Obstetrics and Gynecology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University of Medical Sciences, Guangzhou 510120, China.
Abstract:OBJECTIVE: To evaluate and compare the detection efficiency of red cell mean corpuscular volume(MCV) test against simple tube red cell osmotic fragility quantitative test(STROFQT) in diagnosis of thalassemia. METHODS: 1978 subjects (989 couples) were detected by both MCV test and STROFQT, 158 samples from subjects were tested by alpha,beta-thalassemia DNA polymerase chain reaction(PCR) and serum ferritin test. RESULTS: The positive rate (9.0%), sensitivity (98.9%) of MCV test were higher than those of STROFQT (8.1%, 88.6%) (P < 0.05). The specificity of MCV test showed no statistic significance compared with that of STROFQT (P > 0.05). CONCLUSION: Both MCV test and STROFQT served as helpful approaches in detection of thalassemia, MCV test shows better diagnostic efficiency for screening than STROFQT.
Keywords:Thalassemia  ? Prenatal diagnosis  ? Mean corpuscular volumes
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