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原发性进展型多发性硬化症:诊断标准的比较研究

Primary progressive multiple sclerosis: a comparative study of the diagnostic criteria.

作者信息

de Seze J, Debouverie M, Waucquier N, Steinmetz G, Pittion S, Zephir H, Fleury M, Blanc F, Vermersch P

机构信息

Department of Neurology, Hôpital Civil, Strasbourg, France.

出版信息

Mult Scler. 2007 Jun;13(5):622-5. doi: 10.1177/1352458506071767. Epub 2007 Feb 16.

DOI:10.1177/1352458506071767
PMID:17548441
Abstract

We assessed the different sets of diagnostic criteria for primary progressive multiple sclerosis (PPMS), in order to determine their sensitivity when applied to a cohort of 261 PPMS patients. According to the Thompson criteria, 168 patients (64.4%) had definite PPMS, 84 patients (32.2%) had probable PPMS, and nine patients (3.4%) had possible PPMS; according to the McDonald criteria, 180 patients (69%) had PPMS; according to the revised McDonald criteria, 194 patients (74.3%) had PPMS. Our findings indicate that the revised McDonald criteria are more sensitive than the original McDonald criteria, but less sensitive than the Thompson criteria.

摘要

我们评估了原发性进行性多发性硬化症(PPMS)的不同诊断标准集,以确定其应用于261例PPMS患者队列时的敏感性。根据汤普森标准,168例患者(64.4%)患有确诊的PPMS,84例患者(32.2%)患有可能的PPMS,9例患者(3.4%)患有疑似PPMS;根据麦克唐纳标准,180例患者(69%)患有PPMS;根据修订后的麦克唐纳标准,194例患者(74.3%)患有PPMS。我们的研究结果表明,修订后的麦克唐纳标准比原始麦克唐纳标准更敏感,但比汤普森标准敏感性低。

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