多发性硬化：视神经脊髓型核磁共振的特征及其功能干预的新方法VIP免费

中国临床康复箬9卷箬9期2005—03—07出版ChineseJournalofClinicalRehabilitation，March72005Vo1．9No9多发性硬化：视神经脊髓型核磁共振的特征及其功能干预的新方法邢建丽，王苏151·综述·邢建丽，王办，解放军北京军区总医院干部病房三科，北京市100700邢建丽，女，1968年生，山西省太原市人，汉族，1991年山西医科大学毕业，学士，主治医师，主要从事脑血管病、老年病的研究XJL2003BJ@tom．cam电话：+86．10．64031738中图分类号：R743文献标识码：B文章编号：1671—5926(2005)09—0151—03收稿日期：2004—12—02修回日期：2004—12—23(04／SN／Y)Multiplesclerosis：charactersofmagneticresonanceimagingofopticnerveandspinalcordandthenewmethodofinterventionXingJJan．1iWangSuXingJJan．1iWangSuThirdDepartmentofCadre’sWard．GeneralHospitalofBeiiingMilitaryAreaCommandofChinesePLA，Beiiing100700ChinaCorrespondenceto：XingJian·li，Attendingphysician，ThirdDepartmentofCadre’sWard．GeneralHospitalofBeiiingMilitaryAreaCommandofChi．nesePLA，Beiiing100700，ChinaXJ12003BJ@tom．camReceived：2004—12—02Accepted：2004一l2—23Abstract0BJECTⅣE：Multiplesclerosis(MS)iscommonandisofteninvolvedi11spinaleordandopticnerveinChinaandJapan．Earlydiagnosisanddetectionofsub．clinicalfocusandtimelyinterventionareveryimportantforpreventingthedevelopmentofillnessandamelioratingthefunctionalimpairment．Inthispaper．wereviewthelatestinvestigations．、DATAS0URCES：Usingthekeyterms“multiplesclerosis．epidemiology．diagnosis．treatment．wesearchedtheMEDLINEdatabasefortherelevalitarticlesaboutdiagnosisandtherapyforMSinEnglishfromJanuaD'1993toApril2004．Meanwhile．usingthesamekeytermsinChinese．wesearcherltheWanfangdatabaseduringthesameperiod．STUDYSELECT10N：A11articleswereselectedfirstly．thosewererelevanttothediagnosisandtherapyofmultiplesclerosisinrecentfivevearswerecollected．ThearticlesofsummarizationsandMetaanalysiswereexcludedandtherestfu11textwaslookedup．DATAEXTRACT10N：Atotalof30articleswerecollected．Twentyarticlesofthemwereselectedandtenofthemwereexcludedbecauseofduplicatedresearches．DATASYNTHESIS：Sevenof20articlesfocusedonimagingcharacteristicsofMs．7articleswereaboutneuroimmunology，3aboutelectromy。graphy(EMG)andevokedpotentlaland3aboutthetreatmentofMS．C0NCLUS10N：MSisaninflammatorydemyelinatingdiseasenthecentrall1en’OUSsystem(CNS)．buttheperipheralnervoussystemCalloftenbein．、olvedatmeantime．EMGandevokedpotentialareusefultestmethodsthatnlavfindsub．clinicalfoCUSandevaluateprognosisofmultiplesclerosis．TheJapanesereportsaboutneuroimmunologyprovideusanewthinkingondiag·llOSiSofmultiplesclerosis．HematopoieticstemcelltransDlantati0nisamewtherapeuticstrategyforpatientswithdamagedaxis·cylinderandrecurrentMS．Xing儿．WangSMultiplesclerosis：charactersofmagneticresonanceimagingofopticnerveandspinalcordandthenewmethodofinterventionZhongguoLinchuangKanE[u2005；9{9l：151—3(Chinal邢建丽．王苏多发性硬化：视神经脊髓型核磁共振的特征及其功能干预的新方法⋯中国临床康复，2005，9{9l：151—31wwwzglckfcaml摘要目的：多发性硬化病灶多发，在中国和日本主要是以脊髓和视神经受累多见：早期诊断和发现亚l性床病灶并及时干预，对阻止病情发展和改善功能障碍至关重要。文章就以上各方面的最新研究做一综述一资料来源：应用计算机检索Medline1993一叭／2004—04与多发性硬化的诊断与治疗相关的文章，检索词”multiplesclerosis，epidemiologv，di．agnosis，treatment”，并限定文章语言为English。同时通过手工和计算机对国内万方数据库2000一叭／2004—04的相关文章进行检索，检索...