重症肌无力的外科治疗  

Surgical treatment of myasthenia gravis

作　　者：赵晓东[1] 高旭东[1] 邱能庸[1] 陈书山[1] 朱宪明[1] 特木热[1] 

机构地区：[1]内蒙古医学院附属医院胸心外科,内蒙古呼和浩特010050

出　　处：《内蒙古医学杂志》2001年第4期318-319,共2页Inner Mongolia Medical Journal

摘　　要：目的 :探索重症肌无力的外科治疗方法。方法 :采用胸腺切除及前纵隔淋巴清扫治疗重症肌无力 35例。结果 :术后早期死亡 1例 ,34例随访 2个月至 5年。缓解 1 4例 ,改善 1 6例 ,无变化 2例 ,死亡 3例。结论 :胸腺切除及前纵隔淋巴脂肪清扫治疗重症肌无力效果满意。延迟拔管或早期气管切开术 ,是防止术后重症肌无力危象的有效措施。胸腺肿瘤已侵及包膜或有局限性恶变的术后放疗可以减少复发 ,延长了生存时间。Objective:To explore curative effect of surgical treatment for myasthenia gravis.Method:Thirty-five patients with myasthenia gravis were treated by extended thymectomy.(inclusion thymoma).Result:There was one patient opertive death.The follow-up was from 2 months to 5 years.3 cases died within 5 years.14 cases were remission,16 cases were improved and 2 cases had no change.Conclusion:Extended thymectomy is excellent operation procedure for patients with myasthenia gravis.Eatly tracheostoy and assisted respiratory support are very important in the management of crisis.

关 键 词：重症肌无力 胸腺切除术 胸腺瘤 外科治疗 

分 类 号：R746.1[医药卫生—神经病学与精神病学]