CAJ | 학술논문

目的：分析急性部分性横贯性脊髓炎（APTM）患者的临床特点，为早期诊断急性脊髓炎与预后判断提供思路。方法：40例APTM患者，根据磁共振（MRI）下有无脑部病灶分组进行比较。回顾分析患者的一般情况、临床症状、磁共振特点、脑脊液分析和电生理检测，评价患者近年的转归情况。结果：符合APTM特点的患者40例，其中头部正常者16例，脑部多发性硬化（MS）样病灶者19例，皮质下小变性灶2例，脑部缺血灶3例。脑部正常组感觉障碍（93.8%）明显，但无视力症状，脑部MS样病灶组7例（36.8%）表现为视力下降（P<0.05）。脑部MS样病灶组患者转化为MS者较脑部正常组多（P<0.05）。结论：脑部MS样病灶的APTM患者具有转变为MS高危性，而脑部正常者转化为MS的概率较低，但具有较高的复发率。
목적：분석급성부분성횡관성척수염（APTM）환자적림상특점，위조기진단급성척수염여예후판단제공사로。방법：40례APTM환자，근거자공진（MRI）하유무뇌부병조분조진행비교。회고분석환자적일반정황、림상증상、자공진특점、뇌척액분석화전생리검측，평개환자근년적전귀정황。결과：부합APTM특점적환자40례，기중두부정상자16례，뇌부다발성경화（MS）양병조자19례，피질하소변성조2례，뇌부결혈조3례。뇌부정상조감각장애（93.8%）명현，단무시력증상，뇌부MS양병조조7례（36.8%）표현위시력하강（P<0.05）。뇌부MS양병조조환자전화위MS자교뇌부정상조다（P<0.05）。결론：뇌부MS양병조적APTM환자구유전변위MS고위성，이뇌부정상자전화위MS적개솔교저，단구유교고적복발솔。
Objective:To provide the thought for both early diagnosis and prognosis of acute partial transverse myelitis (APTM)though analyzing clinical characteristic of APTM patients. Methods:40 patients included 16 patients with normal cerebral image,19 patients with cerebral MS-like lesion,2 patients with small subcortical lesion and 3 patients with cere-bral ischemic lesion by MRI examination. The common situation,clinical symptom,MRI characteristic,cerebrospinal fluid analysis and electrophysiologic detection of 40 cases were retrospected and analyzed. Result:Normal group didn′t emerge the vision damage,but emerged obvious sensory disability. 7 cases in cerebral MS-like lesion group emerged diminution of vision. There were more cases who converted into MS patients in cerebral MS-like lesion group than in normal group. Conclusion:APTM patients with cerebral MS-like lesion have higher risk of converting into CDMS,while APTM patients with normal brain image have higher relapse rate in the future.