单肋间单操作孔胸腔镜胸腺切除治疗重症肌无力的疗效分析  

The clinical effects of thoracoscopic thymectomy through single inter coastal space

作　　者：张劲[1] 牛会军[2] 马铮[2] 李昆昆[2] 马国锋[2] 孟胜蓝[2] 杨帆[2] 郭伟[2] 龚太乾[2] 谭群友[2] 王如文[2] 蒋耀光[2] 

机构地区：[1]重庆市第三人民医院胸外科,400014 [2]第三军医大学大坪医院野战外科研究所胸外科,重庆400042

出　　处：《重庆医学》2015年第20期2743-2745,共3页Chongqing medicine

摘　　要：目的探讨单肋间单操作孔电视胸腔镜胸腺切除术改善重症肌无力(MG)患者术后胸壁慢性疼痛的临床意义,以及其手术安全性与临床疗效。方法回顾性收集2010年1月至2012年12月第三军医大学大坪医院野战外科研究所胸外科行电视胸腔镜胸腺切除95例,对比分析经右胸前外侧径路胸腺切除(TVAT组)与单肋间单操作孔胸腔镜胸腺切除(VTSI组)的临床与随访资料。结果全组无围术期死亡。两组患者在手术时间、出血量、中转率及术后并发症、远期疗效等差异无统计学意义(P>0.05)。VTSI组患者术后急性疼痛及慢性胸壁疼痛明显低于TVAT组。结论单肋间单操作孔径路可减轻MG患者术后疼痛与胸壁感觉异常,安全可行。Objective To explore the clinical significance of thoracoscopic thymectomy through single inter coastal space. （ICS）. Methods Clinic data of 95 cases of myasthenia gravis patients performed thymectomy from Jan. 2010 to Dec. 2012 were ana- lyzed,and the clinical data and follow up data of TVAT group （traditional VATS thymectomy group） and VTSI group （VATS thymectomy through single ICS group） were compared. Results There was no surgical death,and no statistic difference was found between these two groups. However,the acute chest pain after surgery indicated by VAS, as well as the post thoracic chest pain, were much lesser in VTSI group than TVAT. Conclusion Minimally invasive thymectomy through thoracoscopy at single ICS was safe and executable. More random trail works need be carried out.

关 键 词：重症肌无力 胸腔镜 胸腺切除术 疼痛 

分 类 号：R746.1[医药卫生—神经病学与精神病学]