ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-040 检验与方法 2026, 2(07): 157-160

微柱凝胶法与经典试管法在不规则抗体筛查中的诊断效能对比研究

山西盈康一生总医院

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摘要

目的 比较微柱凝胶法与经典试管法在不规则抗体筛查中灵敏度及特异度。方法 回顾性分析2023年1月至2025年12月本实验室收集的87例不规则抗体检测数据,样本均接受微柱凝胶法与经典试管法检测,以综合判定结果作为金标准,分析以上不同检测方式的诊断效能。结果 微柱凝胶法灵敏度高于经典试管法,但微柱凝胶法特异度低于经典试管法(P<0.05)。结论 微柱凝胶法灵敏度较高,利于检出低效价抗体,但存在假阳性;而经典试管法特异度较高,假阳性率较低,二者具有互补性,联合检测可提高检测结果的可靠性。

Abstract

Objective Compare the sensitivity and specificity of the microcolumn gel method(MGT) and the classical test tube method(CTM) in the screening of irregular antibodies. Methods A retrospective analysis was conducted on 87 cases of irregular antibody test data collected from our laboratory between January 2023 and December 2025. All samples were tested using both MGT and CTM. A comprehensive reference standard was established as the gold standard to evaluate the diagnostic performance of the two methods. Results The microcolumn gel technique demonstrated higher sensitivity but lower specificity compared with the classical test tube method(P<0.05). Conclusion The microcolumn gel technique offers superior sensitivity, facilitating the detection of low-titer antibodies. However, it is prone to falsepositive results. In contrast, the classical test tube method exhibits higher specificity and a lower false-positive rate. The two methods are complementary, and their combined use can improve the reliability of test results.

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[1]李孟婕,杨静,刘芳娜,等.微柱凝胶法与经典试管法在不规则抗体筛查中的诊断效能对比研究[J].疾病预防与控制,2026,2(07):157-160.