胸腺切除治疗重症肌无力的疗效分析  

Effect of thymectomy in treatment of myasthenia gravis: analysis of 67 cases

作　　者：王伟[1] 尚立群[1] 文峰[1] 宋伟安[1] 李军[1] 李学昌[1] 

机构地区：[1]海军总医院胸外科,北京100037

出　　处：《中华医学杂志》2006年第28期1978-1980,共3页National Medical Journal of China

摘　　要：目的评价67例重症肌无力患者胸腺切除术的治疗效果。方法回顾性分析我院1995年12月至2004年12月期间对67例行胸腺切除术的重症肌无力患者的临床资料,对其临床特点、手术方式、围手术期处理和治疗效果进行了探讨。结果按Monden标准评价疗效:缓解22例(32．8％),改善26例(38．8％),无变化14例(20．9％),恶化5例(7．5％),总有效率为71．6％。结论胸腺切除术治疗重症肌无力疗效可靠,对MG患者应积极行胸腺切除术。Objective To evaluate the clinical effects of thymectomy in treatment of myasthenia gravis ： （MG）. Methods The clinical data of 67 patients, 29 males and 38 females, aged 10.5 ～ 68, who underwent thymectomy were analyzed. Results According to the Monden＇s standard the overall effective rate of thymectomy was 71.6%. The remission rate was 32.8% （22/6）, the improvement rate was 38.8% （26/67）, 14 patients showed no change （20.9%）, and deterioration was seen in 5 patients （7.5%）. Conclusion An effective method to treat MG, thymectomy should be performed on most of the MG patients early and actively.

关 键 词：重症肌无力 胸腺切除术 

分 类 号：R655[医药卫生—外科学]