FA160全自动粪便分析仪的临床应用性能评价
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摘要
目的评估FA160全自动粪便分析仪检测粪便常规的临床应用性能指标。方法按照《全国临床检验操作规程》(第四版)要求,以人工显微镜镜检为金标准,评价FA160全自动粪便分析仪检测粪便的携带污染率,检测WBC和RBC的灵敏度及特异度,分析仪器检测结果与人工镜检结果的一致性。结果全自动粪便分析仪的携带污染率为0%,分析仪检测白细胞的灵敏度为92.5%,特异度为95.6%;检测红细胞的灵敏度为92.0%,特异度为95.5%,两者与人工镜检结果的符合率为94.8%(P=0.454,Kappa=0.716)和94.5%(P=0.629,Kappa=0.791)。结论全自动粪便分析仪与人工镜检结果一致性较好,可以应用于临床。
Objective To evaluate the clinical application of FA160 automatic stool analyzer.Methods According to the National clinical laboratory operating procedures(4th),stool specimens were performed the routine detection by using automatic stool analyzer and manual microscopy examination,the results of the manual microscopy examination were considered as the golden standard.The Carryover rate of the analyzer was calculated, the sensitivity and specificity of WBC and RBC were assessed by the analyzer at the same time, the consistency between the automatic stool analyzer and the manual microscopy examination was observed.Results The Carryover rate of the automatic stool analyzer was 0%,the sensitivity and specificity of detecting WBC by the analyzer were 92.5% and 95.6%, which of detecting RBC were 92.0% and 95.5%.The coincidence rates of WBC and RBC with the results of manual microscopy were 94.8%(P=0.454, Kappa=0.716)and 94.5%(P=0.629, Kappa=0.791).Conclusion The automatic stool analyzer and the manual microscopy examination for stool have good consistency in the detection results,the automatic stool analyzer can be used in clinical.
Objective To evaluate the clinical application of FA160 automatic stool analyzer.Methods According to the National clinical laboratory operating procedures(4th),stool specimens were performed the routine detection by using automatic stool analyzer and manual microscopy examination,the results of the manual microscopy examination were considered as the golden standard.The Carryover rate of the analyzer was calculated, the sensitivity and specificity of WBC and RBC were assessed by the analyzer at the same time, the consistency between the automatic stool analyzer and the manual microscopy examination was observed.Results The Carryover rate of the automatic stool analyzer was 0%,the sensitivity and specificity of detecting WBC by the analyzer were 92.5% and 95.6%, which of detecting RBC were 92.0% and 95.5%.The coincidence rates of WBC and RBC with the results of manual microscopy were 94.8%(P=0.454, Kappa=0.716)and 94.5%(P=0.629, Kappa=0.791).Conclusion The automatic stool analyzer and the manual microscopy examination for stool have good consistency in the detection results,the automatic stool analyzer can be used in clinical.
引文
[1]陈如昌.联合检验粪便及肿瘤标志物在结直肠癌诊治中的价值[J].中国卫生检验杂志,2015,25(1):57
[2]熊立凡,刘成玉.临床检验基础(第四版)[M].北京:人民卫生出版社,2007.8.201-212
[3]顾韧红.粪和尿常规检验标本不合格因素及改进措施[J].国际检验医学杂志,2015,36(18):2751.
[4]魏园园,岳婵娟.Sysmex XN-9000全自动血细胞分析仪性能验证[J].国际检验医学杂志,2015,36(22):3320.
[5]尚红,王毓三,申子瑜.全国临床检验操作规程(第四版)[M].北京:人民卫生出版社,2015:175-177.
[6]熊立凡,刘成玉.临床检验基础[M].北京:人民卫生出版社,2007:201-212.
[7]刘辉,王萍,王立伟.全自动粪便分析仪临床应用评价[J].中日友好医院学报,2017,31(2):120.
[8]马飞,车洪智,向代军等.粪便自动检测分析仪的临床应用评价[J].检验医学与临床,2015,12(9):1231.
[9]丛玉隆.尿液和粪便有形成分自动化分析专家共识[J].临床检验装备杂志,2016,2(3):29.
[10]黄玉霞,邓三鹰,黄倩,等.大便镜检中形态相似和少见寄生虫的形态特征及鉴别[J].四川医学,2013,34(5):730.
[11]陈敏,丁进亚.AVE-562全自动粪便分析仪在寄生虫检测中的应用[J].检验医学与临床,2017,14(12):1790.
[2]熊立凡,刘成玉.临床检验基础(第四版)[M].北京:人民卫生出版社,2007.8.201-212
[3]顾韧红.粪和尿常规检验标本不合格因素及改进措施[J].国际检验医学杂志,2015,36(18):2751.
[4]魏园园,岳婵娟.Sysmex XN-9000全自动血细胞分析仪性能验证[J].国际检验医学杂志,2015,36(22):3320.
[5]尚红,王毓三,申子瑜.全国临床检验操作规程(第四版)[M].北京:人民卫生出版社,2015:175-177.
[6]熊立凡,刘成玉.临床检验基础[M].北京:人民卫生出版社,2007:201-212.
[7]刘辉,王萍,王立伟.全自动粪便分析仪临床应用评价[J].中日友好医院学报,2017,31(2):120.
[8]马飞,车洪智,向代军等.粪便自动检测分析仪的临床应用评价[J].检验医学与临床,2015,12(9):1231.
[9]丛玉隆.尿液和粪便有形成分自动化分析专家共识[J].临床检验装备杂志,2016,2(3):29.
[10]黄玉霞,邓三鹰,黄倩,等.大便镜检中形态相似和少见寄生虫的形态特征及鉴别[J].四川医学,2013,34(5):730.
[11]陈敏,丁进亚.AVE-562全自动粪便分析仪在寄生虫检测中的应用[J].检验医学与临床,2017,14(12):1790.