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目的 探讨多发性硬化 (MS)的临床特点。方法 综合分析 6 6例多发性硬化患者的一般临床资料 ,病变部位 ,重要辅助检查及治疗转归。结果 MS多见于青壮年女性 ,起病较急 ,病程多缓解复发 ,上呼吸道感染为其主要诱因之一 ,脊髓、视神经受累多见 ,电生理 ,免疫学及影像学检查有助诊断 ,糖皮质激素治疗有效。结论 根据临床特点 ,综合神经电生理 ,脑脊液免疫学及影像学检查能大大提高临床确诊率 ,其中磁共振成像意义较大。
Objective To investigate the clinical features of multiple sclerosis (MS). Methods A total of 66 cases of patients with multiple sclerosis in general clinical data, lesions, important auxiliary examination and treatment outcome. Results MS was more common in young and middle-aged women. The onset of acute exacerbation was more frequent and the course of disease was more relieved and relapsed. Upper respiratory tract infection was one of the main causes. Spinal cord and optic nerve involvement were more common. Electrophysiology, immunology and imaging examination were helpful for diagnosis. Hormone therapy is effective. Conclusion According to clinical features, comprehensive neuroelectrophysiology, immunological and cerebrospinal fluid immunology and imaging examination can greatly improve the clinical diagnosis rate, which is more meaningful magnetic resonance imaging.