ピロリ菌検査の感度と特異度はどのくらいですか？（日本ヘリコバクター学会ガイドライン2015）

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2017.12.11

この記事は約6分で読めます。

以前の記事の続きです。ピロリ菌感染診断法における各検査の感度・特異度を以下の表にまとめました。やはり尿素呼気検査の感度と特異度は高いですね。

表１. ピロリ菌感染診断法の感度・特異度
⌘ 参考文献

表１. ピロリ菌感染診断法の感度・特異度

診断法	感度（%）	特異度（%）
迅速ウレアーゼ試験除菌前¹⁾ 除菌後²⁾	85～95 61～100	95～100 91～100
鏡検法除菌前　　　　　HE 染色 ^3,4) 　　　　　　ギムザ染色³⁾	92～99 88	89～100 98
培養法⁵⁾	68 ～ 98	100
尿素呼気試験 ^6-9)	95～98	95～97
抗体測定法除菌前　　　　　血清抗体 ^10,11) 　　　　　尿中抗体^10,11)	88～100 85～96	50～100 79～90
便中抗原測定法　　　　　　除菌前¹²⁾ 　　除菌後^13-15)	96～100 75～90	97～100 96～100

（日本ヘリコバクター学会ガイドライン2015から引用）

⌘ 参考文献

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