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
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) | 85~9561~100 | 95~10091~100 |
鏡検法 除菌前 HE 染色3,4) ギムザ染色 3) | 92~9988 | 89~10098 |
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) | 88~10085~96 | 50~10079~90 |
便中抗原測定法 除菌前 12) 除菌後 13-15) | 96~10075~90 | 97~10096~100 |
⌘ 参考文献
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