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目的探讨视神经脊髓炎(NMO)的临床特点及诊治、激素疗效。方法回顾性分析33例视神经脊髓炎临床资料。结果 33例患者经治疗后,21例疗效显著,占63.63%,总有效率87.87%;采用近视力表对治疗前后的视力进行比较,所有病例治疗后视力显著改善。结论 NMO与MS不同的临床与病理表现,病变仅局限于视神经和(或)脊髓部位,呈进行性或复发-缓解病程,大剂量甲泼尼龙冲击疗法对NMO急性发作治疗有效。
Objective To investigate the clinical features, diagnosis, treatment and hormonal effects of optic neuromyelitis (NMO). Methods Retrospective analysis of 33 cases of optic neuromyelitis clinical data. Results 33 cases of patients after treatment, 21 cases of significant effect, accounting for 63.63%, the total effective rate 87.87%; using near-visual acuity before and after treatment of visual acuity were compared in all cases significantly improved visual acuity after treatment. Conclusion NMO and MS have different clinical and pathological manifestations. The lesions are confined to the optic nerve and / or spinal cord site, and are progressive or recurrent - to relieve the course of the disease. High-dose methylprednisolone impact therapy is effective in the treatment of acute exacerbation of NMO.