当前位置:首页 / 自身抗体检测诊断原发性干燥综合征的临床应用价值分析
论著 | 更新时间:2018-07-05
|
自身抗体检测诊断原发性干燥综合征的临床应用价值分析
Analysis of clinical value of autoantibodies in diagnosis of primary Sjogren′s syndrome

内科 201813卷03期 页码:329-332

作者机构:甘肃省定西市第二人民医院检验科,定西市743000

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2018.03.16

  • 中文简介
  • 英文简介
  • 参考文献
目的分析自身抗体检测诊断原发性干燥综合征的临床应用价值。方法选取2015年8月至2017年7月我院收治的原发性干燥综合征患者52例为研究对象,检测血清抗SSA抗体、抗SSB抗体、抗α-fodrin抗体,以病理诊断为金标准,通过制作诊断实验ROC工作曲线,比较抗SSA抗体、抗SSB抗体、抗α-fodrin抗体单独检测及联合检测诊断原发性干燥综合征诊断准确率、灵敏度及特异度。结果抗SSA抗体、抗SSB抗体和抗α-fodrin抗体单独检测诊断原发性干燥综合征的准确率分别为75.00%、61.54%和44.23%,抗SSA抗体联合抗SSB抗体、抗SSA抗体联合抗α-fodrin抗体、抗SSB抗体联合抗α-fodrin抗体检测诊断原发性干燥综合征准确率分别为90.38%、90.38%和92.31%。抗SSA抗体联合抗α-fodrin抗体检测诊断原发性干燥综合征的ROC曲线下面积最大达0.990,诊断的灵敏度和特异度分别为92.16%和93.51%。结论抗SSA抗体、抗SSB抗体、抗α-fodrin抗体3种抗体单独检测或联合检测对原发性综合征的诊断均有一定的参考价值,两两联合检测能提高诊断的阳性率,抗SSA抗体联合抗α-fodrin抗体检测诊断的灵敏度和特异度均较高,具有较高的临床应用价值。
ObjectiveTo analyze the clinical value of autoantibodies in the diagnosis of primary Sjogren′s syndrome. Methods52 cases of primary Sjogren syndrome from August 2015 to July 2017 in our hospital were selected. Serum anti SSA antibody, anti SSB antibody and anti alpha-fodrin antibody were detected. Accuracy, sensitivity and specificity were compared between respectively detection of anti SSA antibody, anti SSB antibody, anti alpha-fodrin antibody with joint detection diagnosised of primary Sjogren′s syndrome based on pathological diagnosis as a gold standard by working out diagnostic ROC curve. ResultsThe accuracy rates of anti SSA antibody, anti SSB antibody and anti alpha-fodrin antibody were 75%, 61.54% and 44.23% respectively in the diagnosis of primary Sjogren′s syndrome. The accuracy rate of anti SSA antibody combined with anti SSB antibody, anti SSA antibody combined with anti alpha -fodrin antibody and anti SSB antibody combined with anti alpha-fodrin antibody was 90.38%, 90.38% and 92.31% respectively. The area under ROC curve for the detection of primary Sjogren syndrome with anti SSA antibody combined with anti alpha-fodrin antibody was up to 0.990, and the sensitivity and specificity of diagnosis were 92.16% and 93.51% respectively. ConclusionThe 3 kinds of antibody, anti SSA antibody, anti SSB antibody and anti alpha-fodrin antibody, have a certain reference value for primary syndrome to separate detection or joint detection. Any two combinations can improve the positive rate of diagnosis. The sensitivity and specificity of anti SSA antibody combined with anti alpha-fodrin antibody are high, and it has high clinical value. Application value.

2515

浏览量

1115

下载量

0

CSCD

工具集