ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-05-047 检验与方法 2026, 2(05): 185-188

流式细胞仪检测T淋巴细胞亚群在肺部感染性疾病诊断中的价值

新疆生产建设兵团第一师医院

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摘要

目的 探讨在肺部感染性疾病中运用流式细胞仪检测T淋巴细胞亚群的诊断价值。方法 回顾性分析我院2023年2月至2025年3月收治的100例疑似肺部感染性疾病患者(观察组)和80例同期健康体检者(对照组)的临床资料。采用流式细胞仪根据单平台免洗法对T淋巴细胞进行测定,以临床综合诊断作为金标准,评估其诊断效能。结果 CD3~+T淋巴细胞(CD3~+T细胞)、CD4~+T淋巴细胞(CD4~+T细胞)、CD4+/CD8+联合诊断敏感度94.67%、特异度96.00%、AUC为0.946,敏感度显著优于单指标检测(P<0.05)。观察组CD4~+T细胞、CD3~+T细胞、CD4+/CD8+水平均低于对照组,CD8~+T细胞水平高于对照组(P<0.05)。结论 流式细胞仪检测T淋巴细胞亚群为肺部感染性疾病的免疫诊断提供了可靠工具,联合检测可作为临床综合诊断的重要补充,助力精准诊疗。

Abstract

Objective To explore the diagnostic value of T lymphocyte subsets detected by flow cytometer in pulmonary infectious diseases. Methods A retrospective analysis was conducted on the clinical data of 100 patients with suspected pulmonary infectious diseases(observation group) admitted to our hospital from February 2023 to March 2025 and 80 healthy individuals undergoing physical examinations during the same period(control group). T lymphocytes were measured by flow cytometer according to the single platform wash free method, and the clinical comprehensive diagnosis was used as the gold standard to evaluate its diagnostic efficacy. Results The combined diagnostic sensitivity and specificity of CD3+ T lymphocytes(CD3~+T cell), CD4+ T lymphocytes(CD4~+T cell), CD4+/CD8+ ratio was 94.67% and 96.00%, respectively AUC was 0.946, the sensitivity was significantly better than single index detection(P<0.05). The level of CD4~+T cell, CD3~+T cell, CD4+/CD8+ ratio in the observation group were lower than those in the control group, and CD8~+T cell level was higher than that in the control group(P<0.05). Conclusion Flow cytometer detection of T lymphocytes subsets provides a reliable tool for immunodiagnosis of pulmonary infectious diseases, and combined detection serves as an important supplement for comprehensive clinical diagnosis to support precise diagnosis and treatment.

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[1]石惠,兰星宇,张华,等.流式细胞仪检测T淋巴细胞亚群在肺部感染性疾病诊断中的价值[J].疾病预防与控制,2026,2(05):185-188.