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合并胸腺瘤的重症肌无力临床研究

高政 张东明 聂志余 王乃昌 包礼平 范洪玉

中风与神经疾病杂志2001,Vol.18Issue(1):34-36,3.
中风与神经疾病杂志2001,Vol.18Issue(1):34-36,3.

合并胸腺瘤的重症肌无力临床研究

Clinical study of the relation between thymoma and myasthenia gravis

高政 1张东明 1聂志余 1王乃昌 1包礼平 1范洪玉2

作者信息

  • 1. 大连医科大学附属第二医院神经内科,
  • 2. 大连市第七人民医院,
  • 折叠

摘要

Abstract

Objective To study relationship between Masaoka pathological stage and type of thymoma and myasthenia gravis. Methods To analyse pathological sections and clinical manifestations of 88 cases who had received thymectomy from 1986 to 1996. Among the 88 cases, 28 cases were MG. The pathological stage and type, age, sex and Osserman type were analysed between thymoma and MG. Results 28 cases with the thymoma complicated by MG is presented (31.8%) including male 18 and female 10 cases. 20 cases from 40~59 years old patients were at peak periods (71.4%). The incidence of epithelial cell type thymoma complicated by MG has raised and its clinical symptom was serious. The epithelial cell type was relied on Osserman type Ⅱa and Ⅱb.The incidence and death rate of MG crisis has raised. 28 cases of thymoma were accompanied with MG and Masaoka pathological stage. The first ,second and third stages were 8, 10, and 10 cases respectively ; 1st stage was relied mainly on Osserman type I, 2nd and 3rd stages were relied mainly on Osserman type Ⅱa and Ⅱb. Conclusion Thymoma complicated by MG relies mainly on male and on epithelial cell type . Masaoka pathological stager also relies on Ⅱ, and Ⅲ , and clinical symptom is serious.

关键词

胸腺瘤/重症肌无力/Osserman临床分型/MG危象

分类

医药卫生

引用本文复制引用

高政,张东明,聂志余,王乃昌,包礼平,范洪玉..合并胸腺瘤的重症肌无力临床研究[J].中风与神经疾病杂志,2001,18(1):34-36,3.

中风与神经疾病杂志

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