Application of multi index detection in the diagnosis of tuberculous pleural effusion
多指标检测在结核性胸腔积液诊断中的应用

摘要

目的 针对多指标检测在结核性胸腔积液诊断中的应用价值进行分析。方法 2021年3月到2022年3月期间，对到本院进行胸腔积液治疗的204例患者进行研究，根据患者病理检查结果，将其分为良性组和恶性组。其中，良性组共102例，恶性组共102例，对比不同胸腔积液样本检测阳性结果以及单一指标检测和多指标联合检测的诊断效果。结果 恶性组和良性组胸腔积液样本检测阳性结果中恶性组胸腔积液IFN-γ、ADA指标低于良性组，CEA、CA125、SF指标高于良性组，多指标联合检测的特异度、敏感度以及准确性高于单一指标检测结果（p<0.05）。结论 针对多指标检测在结核性胸腔积液诊断中具有良好的应用价值，通过分析不同指标之间的阳性检出率，能够进一步分析患者结核性胸腔积液是否存在恶性病变，通过多指标联合检测能够为临床治疗提供有效的参考依据。

Abstract

Objective: To analyze the application value of multi index detection in the diagnosis of tuberculous pleural effusion.
Methods: From March 2021 to March 2022,204 patients who received pleural effusion treatment in our hospital were studied, and they were divided into benign group and malignant group according to the pathological examination results. Among them, there were 102 cases in benign group and 102cases in malignant group. The positive results of different pleural effusion samples and the diagnostic effects of single indicator test and multiple indicator combined test were compared.
Results: The positive results of pleural effusion samples in nausea group and benign group were IFN in malignant group- γ, ADA index was lower than that of benign group, CEA, CA125，SF index was higher than that of benign group, and the specificity, sensitivity and accuracy of combined detection of multiple indicators were higher than that of single indicator (p<0.05).
Conclusion  : In view of the good application value of multi index detection in the diagnosis of tuberculous pleural effusion, by analyzing the positive detection rate among different indicators, we can further analyze whether there are malignant lesions in patients with tuberculous pleural effusion, and through multi index joint detection, we can provide effective reference for clinical treatment.