血浆1-3-β-D葡聚糖检测在真菌性鼻窦炎诊断中的临床价值
作者:
作者单位:

作者简介:

陈伟,Email:jhcw001@163.com

通讯作者:

基金项目:


Diagnostic value of plasma 1-3-β-D glucan assay in fungal rhinosinusitis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的探讨血浆13βD葡聚糖检测在真菌性鼻窦炎中的临床诊断价值。方法回顾性分析因鼻部疾病在我院接受手术治疗的87例患者的临床资料,以病理诊断结果为依据分为两组:实验组41例(真菌性鼻窦炎组)和对照组46例(非真菌性鼻窦炎组)。分别检测两组患者手术前后血浆13βD葡聚糖的变化,以评估血浆13βD葡聚糖含量在真菌性鼻窦炎的敏感性及特异性。结果实验组术前血浆13βD葡聚糖平均值显著高于对照组(18.3±3.2 vs 2.5±3.4)pg/ml,差异具有统计学意义(t=22.24,P<0.05);实验组术后血浆13βD葡聚糖平均值显著低于实验组术前平均值(2.8±2.6 vs 18.3±3.2)pg/ml,差异具有统计学意义(t=24.07,P<0.05);血浆13βD葡聚糖检测诊断真菌性鼻窦炎的敏感性为95.1%,特异性为84.8%。结论血浆13βD葡聚糖检测诊断真菌性鼻窦炎具有快速、可靠等优点,有较高的敏感性。血浆13βD葡聚糖亦可用于监测治疗效果。该检测方法值得临床推广。 关键词:中图分类号:

    Abstract:

    ObjectiveTo determine the clinical value of plasma 13βD glucan assay for diagnosis of fungal rhinosinusitis.MethodsClinical data of 87 patients underwent surgical treatment for nasal diseases in our department was analyzed retrospectively. According to the postoperative pathological results, all the patients were divided into two groups, experimental group (fungal rhinosinusitis group,n=41) and control group(n=46). The plasma levels of 13βD glucan in all the patients of both groups were detected and compared. The specificity and sensitivity of plasma 13βD glucan assay for the diagnosis of fungal rhinosinusitis were calculated.ResultsThe average preoperative plasma level of 13βD glucan in the experimental group (18.3±3.2 pg/ml) was higher than that of the control group (2.5±3.4 pg/ml) with statistically significant difference (t=22.24,P<0.05). In the experimental group, the postoperative plasma level of 13βD glucan (2.8±2.6 pg/ml) was significantly lower than the preoperative level (18.3±3.2 pg/ml)with statistically significant difference (t=24.07,P<0.05). For the diagnosis of fungal rhinosinusitis via detection of plasma 13βD glucan, the sensitivity was 95.1% and specificity was 84.8%.ConclusionsPlasma 13βD glucan assay for diagnosis of fungal rhinosinusitis is reliable and convenient with high sensitivity. Meanwhile, this assay can be used for monitoring the surgical efficacy. Therefore, the detection of plasma 13βD glucan is worthy of being widely applied to clinical medicine.

    参考文献
    相似文献
    引证文献
引用本文

余鹏举,黄媛媛,江满杰,陈伟.血浆1-3-β-D葡聚糖检测在真菌性鼻窦炎诊断中的临床价值[J].中国耳鼻咽喉颅底外科杂志,2014,20(2):107-110

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2014-04-30
温馨提示

本刊唯一投稿网址:www.xyosbs.com
唯一办公邮箱:xyent@126.com
编辑部联系电话:0731-84327210,84327469
本刊从未委托任何单位、个人及其他网站代理征稿及办理其他业务联系,谨防上当受骗!

关闭