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血清Ryanodine受体抗体检测对胸腺瘤并重症肌无力的诊断价值

Value of Ryanodine receptor antibodies in diagnosing thymoma with myasthenia gravis
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摘要 目的探讨血清R yanod ine受体抗体(R yR-A b)对胸腺瘤并重症肌无力(M G)的诊断价值。方法选择经病理检查证实为胸腺病变并M G的患者35例,其中胸腺瘤并M G患者(M GT组)17例、胸腺增生并M G患者(M GH组)12例、胸腺萎缩并M G患者(M GA组)6例,同时选择胸腺正常的M G患者(NTM G组)27例,健康对照者(NC组)50例;采用EL ISA法检测其血清R yR-A b。结果M GT组血清R yR-A b阳性率为76.5%,M GH组为8.3%,M GA组为16.6%,NTM G组为0,NC组为0。结论M GT患者血清R yR-A b阳性率较高,检测血清R yR-A b有助于M GT的诊断。 Objective: To investigate the role of Ryanodine receptor antibodies (RyR-Ab) in diagnosing thymoma with myasthenia gravis (MG). Methods: 35 cases of thymic disease with MG including 17 cases of thymoma with MG(MGT group), 12 cases of thymic hyperplasia with MG (MGH group), 6 cases of thymic atrophy with MG (MGA group), and 27 cases of normal thymus with MG (NTMG group), 50 cases of normal controls (NC group).The RyR-Ab was tested in sera of these patients with ELISA. Results: The positive percentage of RyR-Ab was 76.5%(13/17)in MGT group,8.3% in MGH group, 16.6% in MGA group,0 in NTMG group,0 in NC group. Conclusion:The RyR-Ab is mostly found in patients with MGT, RyR-Ab testing is useful in diagnosing MGT.
机构地区 山东省立医院
出处 《山东医药》 CAS 北大核心 2005年第24期17-18,共2页 Shandong Medical Journal
基金 山东省自然科学基金资助项目(200213YC)
关键词 Ryanodine受体抗体 胸腺瘤 胸腺增生 胸腺萎缩 重症肌无力 Ryanodine receptor antibodies thymoma thymic hyperplasia thymlc atrophy myasthenia gravis
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  • 1Romi F,Skeie GO,Aarli JA,et al.The severity of myasthenia gravis correlates with the serum concentration of titin and Ryan-odine receptor antibodies[J].Arch Neurol,2000,57(11):1596-1600.
  • 2Vincent A,Willcox N.The role of T-cells in the initiation of autoantibody responses in thymoma patients[J]. Pathol Res Pra-ct,1999,195(8):535-540.
  • 3张祥,乔健,吕传真.重症肌无力患者血清中Ryanodine受体抗体检测及其临床意义[J].中华神经科杂志,2003,36(6):436-439. 被引量:15

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