CAJ | 학술논문

目的探讨分析复发性长节段横贯性脊髓炎的临床特征.方法回顾性分析我院收治的38例复发性长节段横贯性脊髓炎患者的临床资料，并对其临床特点、实验室及辅助检查、治疗及预后等进行分析总结.结果 r-LEMTM患者多以中年女性为主(78.95%)，多见于有既往自身免疫史患者16例(42.11%)，常见的发病诱因为感冒等呼吸道感染(52.63%)、劳累及情绪波动(10.53%)及腹泻(10.53%)，亚急性起病最多见(52.63%)，首次发作缓解后1年内易复发(55.26%)，病灶多见于颈髓(73.68%)及胸髓(68.42%)，且可波及延髓(15.79%)等部位，经甲强龙冲击治疗后，病情明显缓解32例(84.21%)，轻微缓解4例(10.53%)，无效或进展2例(5.26%).结论加强对r-LEMTM临床特点的认识，不断提高诊断与治疗水平，对提高患者的生活质量具有重要的意义.
목적탐토분석복발성장절단횡관성척수염적림상특정.방법회고성분석아원수치적38례복발성장절단횡관성척수염환자적림상자료，병대기림상특점、실험실급보조검사、치료급예후등진행분석총결.결과 r-LEMTM환자다이중년녀성위주(78.95%)，다견우유기왕자신면역사환자16례(42.11%)，상견적발병유인위감모등호흡도감염(52.63%)、로루급정서파동(10.53%)급복사(10.53%)，아급성기병최다견(52.63%)，수차발작완해후1년내역복발(55.26%)，병조다견우경수(73.68%)급흉수(68.42%)，차가파급연수(15.79%)등부위，경갑강룡충격치료후，병정명현완해32례(84.21%)，경미완해4례(10.53%)，무효혹진전2례(5.26%).결론가강대r-LEMTM림상특점적인식，불단제고진단여치료수평，대제고환자적생활질량구유중요적의의.
Objective To investigate and analysis of the clinical features of r-LEMTM. Methods Retrospective analysis of 38 cases with r-LEMTM, and analyzed and summed up the clinical characteristics, laboratory and auxiliary examination, treatment and prognosis. Results R-LEMTM were seen most frequently in middle-aged women (78.95%), patients (42.11%) accompanied by autoimmune diseases. Cold and other respiratory infections (52.63%), fatigue and emotions (10.53%), and diarrhea (10.53%) were the most common trigger factors. 52.63% of cases had a subacute course, and 55.26% of cases relapsed again after the relief of the first attack during the first year. The spinal cord lesions were commonly lacated in the cervical cord (73.68%) and thoracic cord (68.42%), and could be seen in medulla oblongata (15.79%). After treatment of mentmethylprednisolone, 32 cases (84.21%) improved significantly, and 4 cases improved slightly, while 2 cases werewere ineffective or progression. Conclusions By strengthening the understanding of the clinical features of r-LEMTM, the diagnosis and treatment evel can be improved continuously.