华西口腔医学杂志 ›› 2012, Vol. 30 ›› Issue (5): 501-504.doi: 10.3969/j.issn.1000-1182.2012.05.012

• 临床研究 • 上一篇    下一篇

唾液测试板检测口腔幽门螺杆菌的实用性研究

王晓敏 赵燕 陈楠 王俊红 邢燕彤 张庚月   

  1. 北京大学第一医院口腔科, 北京100034
  • 收稿日期:2011-09-10 修回日期:2012-03-12 出版日期:2012-10-01 发布日期:2012-10-01
  • 通讯作者: 王晓敏,Tel:13521264819
  • 作者简介:王晓敏(1963—),女,吉林人,副主任医师,博士

Study of the pragmatic of saliva test cassette to detect the Helicobacter pylori in oral cavity

Wang Xiaomin, Zhao Yan, Chen Nan, Wang Junhong, Xing Yantong, Zhang Gengyue   

  1. Dept. of Stomatology, Peking University First Hospital, Beijing 100034, China
  • Received:2011-09-10 Revised:2012-03-12 Online:2012-10-01 Published:2012-10-01

摘要:

目的探讨幽门螺杆菌唾液测试板(HPS)与碳-13尿素呼气试验(13C-UBT)检测口腔幽门螺杆菌的相关性及其诊断的特异性及灵敏性。方法选择13C-UBT检测阳性者106例和13C-UBT检测阴性者24例,共130例研究对象,采用HPS法进行口腔幽门螺杆菌检测。以13C-UBT为金标准,对HPS法检测结果用贝叶斯定理方法进行评价。结果HPS的灵敏度为68.87%,特异度为58.33%,准确度为66.92%,阳性预测值为87.95%,阴性预测值为29.79%。二者的符合率为66.92%。结论HPS法与13C-UBT法的检测结果具有一定的相关性,13C-UBT法对口腔幽门螺杆菌检测存在盲区,不适用于作为评价口腔幽门螺杆菌检测方法HPS的金标准。HPS法与13C-UBT法可临床上同步使用。

关键词: 幽门螺杆菌, 特异度, 灵敏度, 碳-13尿素呼气试验, 幽门螺杆菌唾液测试板

Abstract:

Objective To study the link of Helicobacter pylori salive test cassette(HPS) and 13C-urea breath test (13C-UBT) on detecting Helicobacter pylori infection of stomach, and the sensitivity as well as specificity should be determined. Methods A screening trial of 13C-UBT and HPS tests was carried out 130 patients included 106 positive and 24 negative results of 13C-UBT. As gold standards of 13C-UBT, a comparison study with HPS was evaluated using Bayes formula. Results The sensitivity, specificity, accuracy, positive and negative predictive value of HPS was 68.87%, 58.33%, 66.92%, 87.95%, 29.79% respectively. The coincidence was 66.92%. Conclusion There is a correlation between results of 13C-UBT and HPS. Combination of 13C-UBT and HPS may compensate the blind zone of 13C-UBT
in detecting oral Helicobacter pylori infection. 13C-UBT could not be used as a gold standard to judge the validation of HPS in detecting Helicobacter pylori oral infection. The methods can be used at the same time in clinic.

Key words: Helicobacter pylori; specificity; sensitivity; 13C-urea breath test; Helicobacter pylori salive test , cassette