重症肌无力伴胸腺瘤38例病理与临床分析
被引量:4
摘要
重症肌无力(myasthenia gravis,MG)是一种主要累及神经肌肉接头处突触后膜乙酰胆碱受体的自身免疫性疾病,10%~15%患者伴有胸腺瘤。胸腺瘤的类型、临床分期与MG的发生、发展及转归具有一定关系。笔者将38例伴胸腺瘤MG的病理改变、临床分型。
出处
《武警医学》
CAS
2012年第3期259-261,共3页
Medical Journal of the Chinese People's Armed Police Force
参考文献10
-
1李柱一,许贤豪,刘建军,张华.第八届全国神经免疫会议纪要[J].中华神经科杂志,2005,38(2):128-128. 被引量:14
-
2Rosai J,Sobin L H.Histological typing of tumors of the thymus//World Health Orgnization.International Histological classificationof tunours[M].Berlin:Springerverlag,1999:65-68.
-
3Masaoka A,Monden Y,Nakahara K,et al.Follow-up study ofthymoma with special reference to their clinical stages[J].Canc-er,1981,48(4):2484-2492.
-
4Monden Y,Nakahara K,Fujii Y,et al.My asthenia gravis in eld-erly patients[J].Ann Thorac Surg,1985,39(1):433-439.
-
5Frist W H,Thirumalu S,Doehring C B,et al.Thymectomy gravispatient:factors influencing outcome[J].Ann Thorac Surg,1994,57:334-335.
-
6史玉泉.实用神经病学[M].上海:上海科学技术出版社,1994.1076.
-
7Okumura M,Miyoshi S,Fajii Y,et al.Clinical and functional sig-nificance of WHO classification on human thymic epithelial neo-plasmas:astudy of 146 consecutive tumor[J].Am J Surg Pathol,2001,25(1):103-110.
-
8陈云新,王新允,王爱香,张淑敏.胸腺瘤组织学分型与重症肌无力及临床分期关系[J].中国癌症杂志,2005,15(1):55-56. 被引量:7
-
9Renard J F,Magdeleinat P,Dromer C,et al.Prognostic factorsand long-term results after thymoma resection:a series of 307 pa-tients[J].J Thorac Cardiovasc Surg,1996,112(2):376-384.
-
10Evoli A,Minisc C,Di Schino C,et al.Thymoma in patients withMG characteristics and long-term outcome[J].Neurology,2002,59(12):1844-1850.
二级参考文献11
-
1Kirchner T, Tzartos S, Hoppe F, et al. Pathogenesis of myasthenia gravis. Acetylcholine receptor-related antigenic determinants in tumor-free thymuses and thymic epithelial tumors [ J ]. Am J Pathol, 1988,130(2) :268-280.
-
2Wilisch A, Gutsche S, Hoffacker V, et al. Association of AchR αsubunit gene expression in mixed thymoma with myasthenia gravis [ J ]. Neurology, 1999,52 ( 7 ): 1460-1466.
-
3Nakagawa K, Asamura H, Matsuno Y, et al. Thymoma: a clinicalpathologic study based on the new World Health Organization classification [ J ]. J Thorac Cardiovasc Surg , 2003, 126 ( 4 ):1134-1140.
-
4Harris NL, Müler-Hermelink HK,Thymoma classification :a siren's song of simplicity [ J ]. Am J Clin Pathol, 1999, 112 ( 3 ): 299-303.
-
5Suster S, Moran CA, Thymona classification. The ride of the Valkyries[ J]. Am J Clin Pathol, 1999,112( 3 ) :308-310.
-
6Marx A, Müller-Hermelink HK. From basic immunobiology to the upcoming WHO-classification of tumors of the thymus. The Second Conference on Biological and Clinical Aspects of Thymic Epithelial Tumors and related recent developments [ J ]. Pathol Res Pract, 1999,195(8) :515-533.
-
7Müller-Hermelink HK, Marx A. Pathological aspects of malignant and benign thymic disorders[ J]. Ann Med, 1999,31( Suppl 2) :5.
-
8Okumura M, Miyoshi S, Fajii Y, et al. Clinical and functional significance of WHO classification on human thymic epithelial neoplasmas: a study of 146 consecutive tumor[J]. Am J Surg Pathol, 2001,25( 1 ): 103-110.
-
9Nakamura H, Taniguchi Y, Ohgi S. Clinicopathological character and long term results of thymic epithelial tumor categorized by WHO classification[J]. Kyobu Geka, 2002,55(11): 931-935.
-
10郭秀海,吴卫平.家族性正常血钾性周期性麻痹一家系18例报告[J].临床神经病学杂志,2002,15(1):35-35. 被引量:3
共引文献207
-
1白鹰,李福金,唐一源.胸腺瘤与重症肌无力[J].中国实用内科杂志,2009,29(S1):170-172. 被引量:2
-
2蓝壁幸,潘敢.小剂量乙酰唑胺干预低钾性周期性麻痹9例[J].中国煤炭工业医学杂志,2004,7(7):674-674.
-
3王钰,张玉,雷鹏.腰大池置管闭式引流治疗外伤性难治性脑脊液漏15例分析[J].创伤外科杂志,2004,6(4):292-292. 被引量:3
-
4朱永钳,罗耀武.^(18)-FDG PET显像对癫痫患者的诊断价值[J].现代医院,2005,5(1):32-33.
-
5边红霞,李柱一.胸段脊髓空洞症致截瘫3例报道[J].中西医结合心脑血管病杂志,2005,3(2):186-186.
-
6李炜,钟广伟,王素娥,文玲波,李臻琰,祁敏,李学文.天子饮治疗偏头痛的临床研究[J].中国康复,2005,20(1):19-20. 被引量:5
-
7杨平生.咪唑类驱虫药致脱髓鞘脑病21例临床分析[J].医学临床研究,2004,21(7):748-750. 被引量:4
-
8童晨.颈动脉粥样硬化与出血性脑血管疾病的探讨[J].徐州医学院学报,2005,25(2):145-146. 被引量:1
-
9杨建平,熊益居.血管性偏侧舞蹈症12例CT分析[J].福建中医药,2005,36(2):31-32. 被引量:3
-
10程晓波.脑血管病患者的心理护理[J].中国中医急症,2005,14(5):491-492. 被引量:3
同被引文献59
-
1郑家豪,曹子昂,梁而慷,镡朝晖,傅于捷,潘文标.原发性纵隔肿瘤的外科治疗[J].中国胸心血管外科临床杂志,2006,13(1):49-51. 被引量:39
-
2杜庆聪,孙雪飞,杨奎忠.巨大纵隔肿瘤的外科治疗[J].临床外科杂志,2006,14(10):672-673. 被引量:4
-
3张晓峰,张其刚.185例胸腺瘤的临床特点[J].中国胸心血管外科临床杂志,2007,14(2):108-111. 被引量:17
-
4刘国江,崔德军,余倩.以呼吸困难为首发表现的重症肌无力1例分析[J].中国误诊学杂志,2007,7(27):6686-6687. 被引量:2
-
5Car AS,Cardwell CR,McCarron PO,et al.A systematic review of population based epidemiological studies in Myasthenia Gravis[J].BMC Neurol,2010,10:46.
-
6Gilhus NE.Autoimmune myasthenia gravis[J].Expert Rev Neurother,2009,9(3):351-358.
-
7Evoli A,Bianchi MR,Riso R,et al.Response to therapy in myasthenia gravis with anti-MuSK antibodies[J].Ann NYAcad Sic,2008,1132:76-83.
-
8中国免疫学会神经免疫分会,中华医学会神经病学分会神经免疫学组.中国重症肌无力诊断和治疗专家共识[J].中国神经免疫学和神经病学杂志,2012,19(6):401-408.
-
9Cuptill JT,Sanders DB.Update on muscle-specific tyrosine kinase antibody positive myasthenia gravis[J].Curr Opin Neurol,2010,23(5):530-535.
-
10Berrih-Aknin S,Ragheb S,Le Panse R,et al.Ectopic germinal centers,BAFF and anti-B-cell therapy in myasthenia gravis[J].Autoimmun Rev,2013,12(9,SI):885-893.
引证文献4
-
1黄玲,尹世敏,王磊.重症肌无力的治疗现状[J].疑难病杂志,2014,13(11):1200-1203. 被引量:3
-
2赵唯,陶定波.不典型重症肌无力误诊分析[J].临床误诊误治,2015,28(11):35-37. 被引量:3
-
3陈世雄,陈胜家,许家君,郭颖,聂运祥,闵科,徐建军.纵隔肿瘤的胸腔镜治疗45例报告[J].临床医药实践,2017,26(5):358-360. 被引量:1
-
4栗迪.重症肌无力伴发胸腺瘤患者46例临床诊断分析[J].中国保健营养(下半月),2013,0(4):632-633.
二级引证文献7
-
1黄玲,王磊,尹世敏,王佳楠,张红丽,陈红,袁莉.伴胸腺瘤的重症肌无力95例临床分析[J].疑难病杂志,2015,14(8):853-855. 被引量:20
-
2赵唯,陶定波.不典型重症肌无力误诊分析[J].临床误诊误治,2015,28(11):35-37. 被引量:3
-
3熊飞,林莉.儿童甲状腺功能亢进症合并重症肌无力危象一例[J].中国小儿急救医学,2016,23(6):431-432. 被引量:5
-
4刘仁杰,赵文刚,霍明娜.胸腔镜手术治疗纵膈肿瘤的疗效分析[J].中国药物经济学,2017,12(9):109-111. 被引量:1
-
5刘蔚.弃杖汤联合免疫球蛋白治疗重症肌无力疗效及作用机制分析[J].中华中医药学刊,2018,36(9):2295-2297. 被引量:6
-
6樊兰英.弃杖汤联合免疫球蛋白治疗重症肌无力的疗效及作用机制分析[J].四川中医,2018,36(10):138-140. 被引量:2
-
7魏玉梅,赵承花,刘利荣.自拟加味益气补肾化浊方联合溴吡斯的明与泼尼松治疗重症肌无力的临床疗效[J].中西医结合心脑血管病杂志,2019,17(8):1268-1271. 被引量:8
-
1林世和,刘多三.多发性硬化的病理与临床[J].中风与神经疾病杂志,1989,6(2):79-81. 被引量:1
-
2李植荣.幻觉的概念、病理与临床[J].中原精神医学学刊,2001,7(2):126-128.
-
3周志韶,谭启富,周晓军.70例颞叶癫痫的病理与临床研究[J].功能性和立体定向神经外科杂志,1994,7(3):12-14. 被引量:7
-
4李植荣.幻觉的概念、病理与临床[J].河北精神卫生,1999,12(1):53-56.
-
5徐惠琴,罗翌,王耀山,牛平,曲方,张景华,何祥,吕文斌.脑梗塞继发脑干出血的病理与临床[J].中风与神经疾病杂志,1999,16(1):21-23. 被引量:1
-
6饶明俐,刘群.Moyamoya病引起原发性脑室出血的病理与临床研究[J].中华神经精神科杂志,1991,24(5):292-294. 被引量:7
-
7李爱美,李德帅.疑似脑梗死的重症肌无力1例[J].中国实用医刊,2009,36(6).
-
8卢明鸥,吴江,张昱.上矢状窦血栓的病理与临床研究[J].中华神经科杂志,2004,37(4):340-342. 被引量:14
-
9李民虎,金香月,张健.脑干梗死的CT、MRI与临床研究[J].中国医药指南(学术版),2008,6(3):21-25.
-
10王娜.中西医结合治疗重症肌无力1例[J].山西中医学院学报,2004,5(2):6-6.