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甲状腺切除术前疾病的严重程度预测了乙胆受体抗体阳性通用肌痛严重症的结果
Athanasios Papathanasiou1, Chris R Tench2, Philip A Ambrose3
1Department of Neurology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, NG7 2UH, UK. tpapathanasiou@gmail.com.
甲状腺切除术前疾病的严重程度是具有乙胆受体抗体 (AChR-Ab) 的一般化骨髓灰质炎 (MG) 患者成功结果的关键预测因素. 手术前轻微的弱点表明,在甲状腺切除术后,对于ACHR-Ab-阳性MG的预后是有利的.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 外科手术的结果
背景情况:
- 有限的研究存在于乙胆受体抗体 (AChR-Ab) 阳性泛性肌痛性肌痛症 (MG) 的胸膜切除术后的结果.
- 了解治疗成功的预测因素对于管理这种自身免疫神经肌肉疾病至关重要.
研究的目的:
- 为了确定预测结果的因素在AChR-Ab-阳性通用MG患者进行胸膜切除术.
- 评估疾病严重程度和胸腺瘤对胸腺切除术后预后的影响.
主要方法:
- 来自英国神经科学中心的53名AChR-Ab阳性通用MG患者的回顾性分析.
- 收集了关于疾病持续时间,胸膜切除术前的弱点严重程度,胸膜瘤的存在和胸膜切除术后的结果 (缓解或最小的表现) 的数据.
主要成果:
- 64%的患者在平均5.7年的随访后取得了良好的结果 (缓解或最小的表现).
- 甲状腺切除术前疾病的严重程度是结果的唯一显著预测因素;轻微的软弱与有利的结果相关.
- 胸腺瘤的存在没有影响胸腺切除术后的结果.
结论:
- 甲状腺切除术前疾病的严重程度是ACHR-Ab阳性通用MG患者的结果的强有力的预测指标.
- 胸膜切除术可以带来显著的改善,轻微的手术前虚弱是积极的预后指标.
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