Characteristics and Outcome in Myathenia Gravis Accompanied with Thymoma or Thymic Hyperplasia
10.3969/j.issn.1006-9771.2017.12.012
- VernacularTitle:重症肌无力伴胸腺瘤或胸腺增生的临床特征及预后
- Author:
Ling YANG
1
;
fang Guo WANG
;
ping Yi DING
;
shan Shan DIAO
;
Zhuan XU
Author Information
1. 苏州大学附属第一医院
- Keywords:
thymoma;
thymic hyperplasia;
myathenia gravis;
respiratory involved;
myasthenia crisis
- From:
Chinese Journal of Rehabilitation Theory and Practice
2017;23(12):1425-1430
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical characteristics and outcome in myathenia gravisac companied with thymoma or thymic hy-perplasia.Methods From January,2007 to December,2016,118 myathenia gravis patients with thymoma,and 42 myathenia gravis patients with thymic hyperplasia were enrolled.Their age of onset,gender,initial symptom,osserman classification,muscles involved,myasthenia crisis,low-frequency repetitive nerve stimulation and complete stable remission rate data were retrospectively analyzed.Results Compared with myathenia gravis patients with thymic hyperplasia,myathenia gravis patients with thymoma showed older age in onset,higher propor-tion in type III and lower rate in complete stable remission rate(P<0.05),and more respiratory muscle involved(χ2=6.364,P=0.011)and myasthenia crisis(χ2=5.455,P=0.022).There were significant differences in respiratory muscle involved(χ2=8.532,P=0.036)and the inci-dence rate of myasthenia crisis(χ2=8.956,P=0.030)among thymoma with different pathological types,in which type B3 was the highest, and type A+AB was the lowest.The low-frequency repetitive nerve stimulation positive rate was higher in myathenia gravis patients with thymoma than with thymic hyperplasia,however,there was no significant difference(χ2<1.357,P>0.05).There was a rising trend with path-ological classification altered in the low-frequency repetitive nerve stimulation positive rate with no significant difference (χ2<6.623, P>0.05).Conclusion Myathenia gravis patients with thymoma were common in middle-aged to old people,who were serious in clinical symp-tom,particularly respiratory muscle involved and myasthenia crisis.Myathenia gravis patients with thymic hyperplasia were more benefit from thymectomy.The low-frequency repetitive nerve stimulation positive rate of myathenia gravis patients does not correlate with thymic lesion type.Respiratory muscle involved and myasthenia crisis are relevant with pathological types of thymoma.
