PDF下载 ( 121 KB)
Clinical research of hepatic myelopathy
-
摘要: 目的探讨肝移植与药物治疗肝性脊髓病(HM)的临床疗效。方法对16例HM患者双下肢肌力恢复情况进行回顾性分析。结果营养神经治疗有效2例(22.2%),肝移植患者仅1例,但肌力明显提高,治疗有效。结论早期营养神经治疗有一定疗效,肝移植为HM的治疗带来希望。Abstract: Objective To analyze the possible treatment measures for hepatic myelopathy (HM) Patients.Methods Clinical data of 15 definite HM patients with recovery of lower extremity muscle strength were analyzed retrospectively.Results wo neurotropic cases (22.2% ) were treated effectively with neurotrophic treatment.Liver transplantation was conducted in one patient in which the muscle strength was improved and the treatment was effective.Conclusion Neurotrophic treatment was effective in early stage, while liver transplantation for the treatment of HM may improve the patient condition.
-
Key words:
- Hepatic myelopathy /
- Liver transplantation
-
[1]黄咏齐.肝病与全身疾病[M].北京:北京医科大学中国协和医科大学出版社, 1993, 190-192. [2] 河北唐山工人医院内科神经病小组.肝硬变伴发脊髓病变2例报告[J].新医学 (神经系统疾病副刊) , 1976, 2∶107. [3]国盛, 石炳毅, 宋继勇.肝性脊髓病肝移植术后的远期疗效[J].中华器官移植杂志2006, 27 (12) ∶717-719. [4]朱志军, 郭庆军.肝移植治疗肝性脊髓病一例[J].中华普通外科杂志, 2006, 21 (6) ∶434. [5]千年松, 窦科峰.肝移植对肝性脊髓病1例临床疗效[J].第四军医大学学报, 2007, 28 (6) ∶533. [6]郭庆军, 朱志军, 郑红.肝移植治疗肝性脊髓病三例[J].中华外科杂志, 2007, 45 (23) ∶1650. [7]千年松, 窦科峰.肝移植对肝性脊髓病的临床疗效探讨[J].肝胆胰外科杂志, 2008, 20 (1) ∶10-12. [8]Weissenborn K, Tietge UJ, Bokemeyer M, et a1.Liver transplantation-improves hepatic myelopathy:evidence by three cases[J].Gastroen-terology, 2003, 124 (2) ∶346-351. [9]Roberto TJ D, Bernard H.Improvement of hepatic myelopathy after liver transplantation[J].N Engl J Med, 1999, 340 (2) ∶151-155. [10]Wang MQ, Dake MD, Cui ZP, et a1.Portal-systemic myelopathy after transjugular intrahepatic portosystemic shunt creation:Report of four cases[J].J Vasc Interv Radio1, 2001, 12 (7) ∶879-881. -
本文二维码
计量
- 文章访问数: 3116
- HTML全文浏览量: 19
- PDF下载量: 947
- 被引次数: 0
下载:
