结核性脊膜脊髓炎与结核性脑膜炎对照研究  

A contrast analysis of tuberculous meningomyelitis and tuberculous meningitis

作　　者：安慧茹[1] 王仲元[1] 刘琳[1] 李净[1] 王涛[1] 

机构地区：[1]解放军总医院第二附属医院结三科,北京100091

出　　处：《四川医学》2009年第3期326-328,共3页Sichuan Medical Journal

摘　　要：目的探讨结核性脊膜脊髓炎的临床、脑脊液及MRI表现的特点,为该病早期诊断奠定基础。方法分析2005年1月～2008年3月间确诊的18例结核性脊膜脊髓炎患者的临床特点,并与随机抽取的18例结核性脑膜炎患者的体温、颅压、脑脊液、糖、蛋白质、氯化物、白细胞进行统计学分析。结果结核性脊膜脊髓炎患者以下肢瘫痪、麻痹、神经源性尿储留及神经根性疼痛为常见临床表现;脑脊液蛋白明显高于单纯性结核性脑膜炎组(P<0.01),颅压(P<0.01)及脑脊液氯化物明显低于对照组(P<0.05)。结论脑脊液蛋白显著增高,颅压降低是该病的主要特点,早期MRI检查有助于该病的诊断。Objective To investigate the features of clinical symptom, CSF, MRI of the patients with tuberculous meningomyelitis, to diagnosis early tuberculous meningomyelitis. Methods Eighteen tuberculous meningomyelitis patients who were treated in 309th Clinical Division of Chinese PLA General Hospital from January 2005 to March 2008 were analyzed, and we compared their body temperature, intraeranial pressure, the protein, chloride, glucose concentration of CSF. Results The most common symptoms are paraparesis, radicular pain,bladder disturbance, and paralysis. Compared with the patients with tuberculous meningitits, the patients with tuberculous meningomyelitis have higher CSF protein concentration （ P 〈 0.01） and lower intracranial pressure （ P 〈 0.01）. Conclusion The lower intracranial pressure and higher CSF protein concentration are the main feature of the tuberculous meningomyelitis. MRI is performed early is helpful to its diagnosis.

关 键 词：脊膜脊髓炎 脑膜炎 结核 对照研究 

分 类 号：R529.3[医药卫生—内科学]