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目的:对照分析多发性硬化 ( m ultiple sclerosis, M S)患者的临床症状与磁共振影像( M R I)间的相关性. 方法:回顾性分析23 例临床确诊的 M S患者临床症状,并与 M R I上的形态学特点进行对照. 结果:11/23 M S呈急性或亚急性起病. 11/23 患者以肢体症状为首发症状,5/23 患者以视力障碍为首发症状. 11 例行神经电生理检查 M S患者中,均有神经损害表现. 临床症状与 M S斑部位有较强相关性. 激素治疗可使 M S斑缩小,但不能防止新病灶的出现. 结论: M S的临床症状尤其神经损害与 M R I有较强的相关性,增强扫描能表示病灶的活动性. M R I是诊断 M S的首选方法.
OBJECTIVE: To compare and analyze the correlation between the clinical symptoms and MRI (M R I) in patients with multiple sclerosis (MS). Methods: The clinical symptoms of 23 clinically diagnosed M S patients were retrospectively analyzed and compared with the morphological features of M R I. Results: 11/23 M S was acute or subacute onset. 11/23 patients with limb symptoms as the first symptom, 5/23 patients with visual impairment as the first symptom. Eleven routine neuroelectrophysiological tests in patients with M S showed neurological damage. Clinical symptoms and M s spot has a strong correlation. Hormone therapy can make M S spot shrink, but can not prevent the emergence of new lesions. Conclusion: The clinical symptoms of M S, especially nerve damage, have a strong correlation with M R I, and enhanced scanning can indicate the activity of lesions. M R I is the preferred method of diagnosing M S.