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作者回顾性评价老年肌病患者肌肉组织病理学变化范畴及临床诊断准确性。老年组77例,男38例,女39例,年龄65~89岁(平均75±6岁)其中疑有炎性肌病37例、激素性肌病3例、氯喹性肌病2例、眼-咽型肌营养不良(OPD)1例、不明原因肌病34例。对照组104例,男57例、女47例,年龄30~50岁(平均40±6岁),其中疑有炎性肌病39例、肌营不良2例、中毒性肌病2例、线粒体肌病2例、不明原因肌病49例。组织病理学显示,老年组:肌病32例(42%)。
The authors retrospectively evaluated the changes of muscle histopathology in elderly patients with myopathy and clinical diagnostic accuracy. The elderly group of 77 patients, 38 males and 39 females, aged 65 to 89 years (mean 75 ± 6 years) of which suspected inflammatory myopathy in 37 cases, 3 cases of hormone myopathy, chloroquine myopathy in 2 cases, the eye One case of pharyngeal muscular dystrophy (OPD) and 34 cases of unknown myopathy. Control group of 104 cases, 57 males and 47 females, aged 30 to 50 years (mean 40 ± 6 years), of which 39 cases suspected inflammatory myopathy, 2 cases of muscular dystrophy, 2 cases of toxic myopathy, mitochondria Myopathy in 2 cases, 49 cases of unknown myopathy. Histopathology showed that the elderly group: myopathy in 32 cases (42%).