Email Alert | RSS    帮助

中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (2): 86-89.

• 论著 • 上一篇    下一篇

液基集菌制片技术检测抗酸杆菌的临床应用研究

梁湘辉;宋婕;刘文恩   

  1. 中南大学湘雅医院 长沙 410008
  • 出版日期:2009-02-10 发布日期:2011-11-03

The clinical application of the liquid-based collecting bacterium technique in detecting the acid-fast bacilli

Liang Xianghui,Song Jie, Liu Wenen   

  1. Xiangya Hospital,Central South University,Changsha 410008, China
  • Online:2009-02-10 Published:2011-11-03

摘要: 目的 探讨液基集菌制片技术在检测抗酸杆菌中的应用价值。方法152例临床标本包括100例痰标本、23例支气管灌洗液标本、7例脑脊液标本、22例胸腔穿刺液标本,均来自本院住院、门诊及急诊患者,标本根据医嘱留取,每例标本同时采用液基集菌制片技术和直接涂片法抗酸染色进行抗酸杆菌平行检测,并将其结果进行比较分析。结果液基集菌制片技术检测抗酸杆菌的总体阳性率为15.8%,与直接涂片法总体阳性率6.6%相比有明显提高(χ2=50.51,P<0.01)。直接涂片法检测为阳性的标本经液基集菌制片技术检测均为阳性,且所有液基集菌制片技术检测为阳性的标本均来源于结核病患者或者结核病疑似患者,与患者临床表现符合。液基集菌制片技术中抗酸杆菌分布均匀,检出菌量与直接涂片法相比显著增多(u=2.1467,P<0.05),且制片效果清晰。结论液基集菌制片技术检测抗酸杆菌较直接涂片法检测阳性率有显著提高,且杂质去除较干净,片中抗酸杆菌分布均匀,菌量增多,染色效果清晰,结果鲜明,操作安全简便,为抗酸杆菌的检测提供了一项新的方法。

关键词: 分枝杆菌, 液基集菌, 制片技术, 直接涂片

Abstract: Objective To investigate the application value of liquid-based collecting bacterium technique in detecting the acid-fast bacilli. Methods152 clinical samples (including 100 sputa, 23 bronchial lavage liquid, 7 cerebrospinal fluid and 22 pleural effusion) were all from the inpatients, outpatients and emergency patients, which were selected according doctor's advice. Every sample was dealed with parallel both by liquid-based collecting bacterium technique and direct-smear staining method. ResultsThe positive rate of liquid-based collecting bacterium technique was 15.8%, which was significant higher than that by the direct-smear staining method (6.6%,P<0.01). The positive samples detected by direct-smear staining method were the same as the Results obtained by liquid-based collecting bacterium technique. And the positive samples detected by liquid-based collecting bacterium technique were all from the patients with tuberculosis or the tuberculosis hypochondriasis. The result obtained by liquid-based collecting bacterium technique was accordant with the clinical diagnosis. The liquid-based collecting bacterium technique could find more bacilli, get better effect compared with the direct-smear staining method.ConclusionThe liquid-based collecting bacterium technique might be a simple, safe, sensitive, effective new bacteriological method. It is worthy to be recommended in clinical use.

Key words: bacillus, tuberculosis, liquid-based collecting bacterium technique, slice production technique, direct-smear