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评价螺旋体乳胶快速反应实验检测梅毒血清的特异性和敏感性
引用本文:晋红中,王家璧,王晓蜂,邵燕玲,何志新,刘跃华,洪少林. 评价螺旋体乳胶快速反应实验检测梅毒血清的特异性和敏感性[J]. 中国性科学, 2003, 12(1): 11-13,10
作者姓名:晋红中  王家璧  王晓蜂  邵燕玲  何志新  刘跃华  洪少林
作者单位:1. 北京协和医院,100730
2. 中国医学科学院中国协和医科大学
摘    要:梅毒的诊断依靠临床及实验室检查。目前实验室常规进行快速血浆反应素环状卡片试验(RPR),是一种筛查试验;用死的或活的梅毒螺旋体来检测抗梅毒螺旋体抗体,包括荧光密螺旋体抗体吸收试验(FTA-ABS)和梅毒螺旋体血球凝集试验(TPHA),这两者是确诊试验。除极早期梅毒外,各期梅毒均能得到诊断。心拟脂试验(如RPR)可检测到感染3~5周后的抗体,敏感性高,但缺乏特异性,可导致假阳性结果(如自身免疫性疾病等)。螺旋体试验(FTA-ABS,TPHA)敏感

关 键 词:评价  螺旋体  乳胶快速反应实验  检测  梅毒  血清  特异性  敏感性

Sensitivity and specificity of Diesse syphilis fast test in testing syphilis serum
Jin Hongzhong,Wang Jiabi,Wang Xiaofeng,Shao Yanling,He Zhixin,Liu Yuehua,Hong Shaolin. Sensitivity and specificity of Diesse syphilis fast test in testing syphilis serum[J]. The Chinese Journal of Human Sexuality, 2003, 12(1): 11-13,10
Authors:Jin Hongzhong  Wang Jiabi  Wang Xiaofeng  Shao Yanling  He Zhixin  Liu Yuehua  Hong Shaolin
Abstract:Objective To assess sensitivity and specificity of Diesse syphilis fast test(DSFT)in routine use,and compareit with rapid plasma reagin circle card test(RPR test),Treponema pallidum particle agglutination assay(TPHA),fluorescenttreponemal antibody absorption test(FTA-ABS test).Methods DSFT,RPR,TPHA,FTA-ABS were used to detect 500cases of syphilis and normal serum.Results Using FTA-ABS as gold standard,the sensitivity and specificity of DSFT were98.6%(204/207),and 93.2%(273/293),respectirely(x~2=1.04,P>0.05.Using TPHA as gold standard,the sensitivityand specifity of DSFT were 100%(223/223),99.6%(273/277),respectively(x~2=0.04,P>0.05).Conclusion TheDiesse syphilis fast test in routine use has high sensitivity and specificity in testing syphilis.
Keywords:Diesse syphilis fast test  rapid plasma reagin cirelecard fest  roeponema pallidum pastide agglutination assay  flworescent trepcnemal antibody absorfionfect  syphilis  serum
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