胸腺扩大切除术治疗重症肌无力探讨  

Investigation of extended thymectomy under video-assisted thoracoscopy for myasthenia gravis

作　　者：林风武[1] 崔建华[1] 戚良晨[1] 李义春[2] 王宏斌[3] 

机构地区：[1]吉林大学中日联谊医院胸外科,长春130031 [2]前郭县中医院外科,前郭县131100 [3]通化人民医院外科,通化134100

出　　处：《内分泌外科杂志》2008年第2期98-99,共2页

摘　　要：目的分析在电视胸腔镜下行胸腺扩大切除术的注意事项及术后效果。方法对我科近5年应用电视胸腔镜行胸腺扩大切除术的10例重症肌无力进行回顾分析。结果术后随访48个月，完全缓解4例，改善5例，缓解率90％，无死亡病例。结论电视胸腔镜胸腺扩大切除术治疗重症肌无力具有创伤小的特点，治疗效果与胸骨正中切口无区别。Objective To evaluate the effact of video-assisted thoracoscopic extended thymectomy for myasthenia gravis. Methods 10 cases of patients with myasthenia gravis received video-assisted thoracoscopic extended thymectomy were reviewed. Results M ean postoperative hospital stay was 6 days. 2 patients had postoperative mechanical ventilation support, symptom was significantly improved in 9 patients with a follow up of 3 months to 4 years. Conclusions Video-assisted thoracoscopic extended thymectomy for myasthenia gravis is effective and has the superiority of less traumatic and quicker recovery.

关 键 词：重症肌无力 电视胸腔镜 胸腺扩大切除术 

分 类 号：R65[医药卫生—外科学] R74[医药卫生—临床医学]