中国寄生虫学与寄生虫病杂志 ›› 1985, Vol. 3 ›› Issue (1): 24-26.

• • 上一篇    下一篇

酶联免疫吸附试验诊断包虫病的研究

赵淑琴,张银霞,邓志达   

  1. 兰州军区总医院临床实验科
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1985-02-28 发布日期:2017-01-12

A STUDY ON THE ELISA IN THE DIAGNOSIS OF HYDATID DISEASE

  • Received:2017-01-12 Revised:2017-01-12 Online:1985-02-28 Published:2017-01-12

摘要: 用酶联免疫吸附试验法检测35例包虫病人的血清抗体,抗原为人肺包虫囊液经活性碳处理的粗抗原,稀释浓度为50~100μg/ml,抗体稀释度为10~(-1)~10~(-5)。用替代试验与阻断试验证明该法具有特异性。包虫病人及正常人血清检测OD值分别为0.93±0.45和0.119±0.055,同样证明该法特异性较好;但与肺结核、肝炎、肝硬化等有交叉反应。35例术前ELISA呈阳性或阴性的病例与手术验证的符合率为94.2%,假阳性率为7.4%。本法与皮内试验、对流免疫电泳、补体结合试验进行小样本比较,显示本法敏感性高,特异性强。

关键词: 包虫病, 免疫吸附, 试验诊断, 补体结合试验, ELISA法, 皮内试验, 标准差, 特异性, 兰州军区总医院, 抗体水平

Abstract: An indirect ELISA for the sero-diagnosis of hydatidosis was described. The antigen used was lung hydatid cyst fluid treated with activated charcoal.The optimal conditions for the test were: antigen 10 μg/ml and the suitable dilution of antibody 10-1 to 10-5. Positive results were obtained from all the 25 surgically confirmed hydatidosis cases (reading 0.930±0.450), while the sera of 30 healthy control were negative (reading 0.119±0.055).The specificity of this method was demonstrated by both the replacement test and the block test. In addition, ELISA was superior in sensitivity to counter electrophore-sis and complement fixation test. However, it showed 7.4% false positivity and cross-reactions with tuberculous or hepatitis sera.