胸腔镜胸腺扩大切除术治疗儿童重症肌无力  

Children myasthenia gravis treated by video-assisted thoracoscopic extended thymectomy

作　　者：左继东[1] 赵振献[1] 陈流华[1] 余俊峰[1] 谭进富[1] 陈振光[1] 刘卫彬[1] 谭敏[1] 

机构地区：[1]中山大学附属第一医院,广州510080

出　　处：《中华腔镜外科杂志（电子版）》2009年第1期42-45,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的通过总结胸腔镜胸腺扩大范围切除术治疗儿童重症肌无力的临床经验,探讨胸腔镜胸腺扩大切除术的临床应用价值。方法2007年2月至2008年5月,共计16例重症肌无力患儿接受胸腔镜胸腺扩大范围切除术;手术采用右侧胸腔入路,切除胸腺和清扫前纵隔脂肪组织。结果所有患儿均顺利完成手术,无严重围手术期并发症;术后随访17～30个月,完全缓解5例,好转9例,无变化2例。结论胸腔镜胸腺扩大切除术手术切口小,出血少,体内无残留金属异物,术后疼痛轻,恢复快,切口疤痕轻微,手术中远期效果良好,适用于儿童重症肌无力。Objective Through the clinic experience of children myasthenia gravis（MG）treated by video-assisted thoracosopic extended thymectomy（VATET）,investigate the clinic value of TET.Methods From Feb 2007 to May 2008,VATET was performed in 16 children;Through right chest approach,thymus and anterior mediastinum＇s adipose tissue was resected.Results All VATET was successful.There was no severe complication at peri-operation.Post-operation follow-up investigation showed that 5 children were remission,9 improved and 2 unchanged.Conclusions VATET group has small incision,minimal bleed loss,no steel-wire remaining in body,slight pain after operation,recovering fast,the good mid-term and long-term clinic outcome.VATET is worth to recommend to children MG.

关 键 词：胸腺扩大切除术 重症肌无力 胸腔镜 儿童 治疗 围手术期并发症 临床应用价值 临床经验 

分 类 号：R726.5[医药卫生—儿科]