Ⅱ型重症肌无力外科术式的选择与术后有效率的相关性分析  

An Analysis of the Relation between Methods and Efficiency of Myasthenia Gravis Surgical Operation

作　　者：王鹏[1] 吴华平[1] 周睿[1] 郭孟刚[1] 

机构地区：[1]四川省达州市中心医院心胸外科,达州653000

出　　处：《中国医药导刊》2012年第5期789-790,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:通过对II型重症肌无力患者采用不同手术方式治疗效果分析,选择一种相对更有效的手术方式。方法:对我院1993年3月-2011年3月共40例得到随访的胸腺瘤手术患者不同手术方式(经胸骨胸腺切除术,电视胸腔镜胸腺切除术,颈-胸联合切口胸腺切除术)后术后并发症的发生、随访有效率情况进行统计,初步分析其相关性。结果:经胸骨胸腺切除术,电视胸腔镜胸腺切除术,颈-胸联合切口胸腺切除术的有效率分别是78.57%,75%,85.71%。结论:Ⅱ型重症肌无力患者采用颈胸联合手术效果相对较好。Objective： Type II patients with myasthenia gravis therapeutic effects of different surgical methods analysis,choose a relatively more effective surgery.Methods：The hospital in March 1993-2011 In March a total of 40 cases were followed thymoma surgery in patients of different surgical methods（by the sternum thymus resection,video-assisted thoracoscopic thymectomy,the incision of the neck-chest thymus resection） after the occurrence of postoperative complications,follow-up efficiency to statistics,a preliminary analysis of its relevance.Results：by the sternum thymus resection,video-assisted thoracoscopic thymectomy,neck-chest incision thymectomy efficiency is 78.57%,75%,85.71%.Conclusion：Type II patients with myasthenia gravis with cervical and thoracic joint effect of surgery is relatively good.

关 键 词：Ⅱ型重症肌无力 胸腺 外科术式 有效率 

分 类 号：R746.1[医药卫生—神经病学与精神病学]