中文摘要：

Mycobacterium 的背景迅速的诊断肺结核(鱼雷快艇) 感染是在肺结核控制和消除的必要的步。然而，精确地诊断小儿科的肺结核(TB ) 经常是困难的。因为，结核菌素测试( TST )可以有低特性与在 Mycobacterium bovis 杆菌 Calmette-Guerin ( BCG )和另外的 mycobacteria 在场的抗原跨反应，特别在有主要 种牛痘BCG 的 藏匿population.Early 的 antigenic 目标 6-kDa 的中国，蛋白质( ESAT-6 )和文化过滤蛋白质 10 ( CFP-10 )，作为导致 interferon-gamma (IFN-)的合适的抗原站出来 secreting ，对感染的 T-cell-mediated 有免疫力的反应。当时，考虑了IFN-版本试金( TSPOT )的更高的费用和复杂性，我们试图在小儿科的肺结核的临床的诊断评估 TSPOT 和 TST 测试并且建立对 China.Methods 合适的一个诊断过程试金的敏感和特性与另外的疾病与活跃肺结核和 51 个 nontuberculous 孩子在总数 74 孩子被评估，然后结果与 TST.Logistic 回归模型相比习惯于 identif 独立变量包括了性别，年龄，出生地方，种痘历史，有 TSPOT 的敏感是的活跃 TB patient.Results 的靠近的合同比在活跃 TB 孩子与或没有 BCG 种痘，以及在有证实文化的 TB 的孩子的 TST 高。但是差别不统计上是重要的。TSPOT 和 TST 的联合结果改进了敏感到 94.6% 。TST 和 TSPOT 的同意是低的(77.0% ， k=0.203 ) 在活跃 TB 病人。在在 TSPOT 和 TST 测试之间的特性的差别是统计上重要的(94.1%vs.70.6% ， P=0.006 ) 。没有优先的 BCG 种痘历史的病人的二测试的特性是类似的(80.0%vs.60.0%) 。在在 BCG 的二测试结果之间的词语索引种牛痘题目是低的(71.7% ， k=0.063 ) 。为 TSPOT，任何一个都显著地没与积极结果包括的风险因素被联系。为 TST， BCG 种痘(OR:1.78；95% CI：1.30-2.00 ) 尽管 IFN- 版本试金有相对高的敏感和特性，显著地与积极 results.Conclusions 被联系，我们应该也考虑这测试的更高的费用和?

英文摘要：

Background Prompt diagnosis of Mycobacterium tuberculosis （MTB） infection is an essential step in tuberculosis control and elimination. However, it is often difficult to accurately diagnose pediatric tuberculosis （TB）. The tuberculin test （TST） may have a low specificity because of cross-reactivity with antigens present in Mycobacterium bovis bacillus Calmette-Guerin （BCG） and other mycobacteria, especially in China with a predominantly BCG-vaccinated population.Early-secreted antigenic target 6-kDa protein （ESAT-6） and culture filtrate protein 10 （CFP-10）, stand out as suitable antigens that induce an interferon-gamma （IFN-γ） secreting, T-cell-mediated immune response to infection. While,considered the higher costs and complexity of the IFN-γ release assay （TSPOT）, we aimed to evaluate the TSPOT and TST test in the clinical diagnosis of pediatric tuberculosis and to establish a diagnostic process suitable for China.Methods The sensitivity and specificity of the assay were evaluated in total seventy four children with active tuberculosis and fifty one nontuberculous children with other disease, and then the results were compared with TST.Logistic regression models were used to identify variables that were associated with positive results for each assay. The independent variables included sex, age, birth place, vaccination history, close contract with an active TB patient.Results The sensitivity of TSPOT was higher than TST in active TB children with or without BCG vaccination, as well as in children with culture-confirmed TB. But the difference was not significant statistically. Combining results of the TSPOT and TST improved the sensitivity to 94.6%. Agreement of the TST and TSPOT was low （77.0%, k=0.203） in active TB patients. The difference in specificity between TSPOT and TST test was statistically significant （94.1% vs.70.6%, P=0.006）. Specificity of the two tests in patients without prior BCG vaccination history was similar （80.0% vs.60.0%）. The concordance betw