摘要
目的探讨胸腔镜微创外科技术治疗重症肌无力的可行性和治疗效果。方法自2000年1月￣2004年1月,采用电视胸腔镜技术为19例重症肌无力患者施行了胸腺扩大切除术,其中Ⅰ型10例,Ⅱa型5例,Ⅱb型3例,Ⅲ型1例。结果所有手术均能在胸腔镜下完成,无手术死亡,总有效率79%。结论电视胸腔镜行胸腺扩大切除术治疗重症肌无力的技术是可行的,疗效确切,较胸骨劈开切口行胸腺切除有优势。
To evaluate the effect of video-assisted minimally invasive surgical treatment in 19 cases of myasthemia gravis. During January 2000 to January 2004, 19 cases of myasthemia gravis were treated by video-assisted maximal thymectomy, including typeⅠ10cases; typeⅡa 5 cases; typeⅡb 3 cases; type Ⅲ 1 case. All the thymectomy could be done by thoracoscopy, there had no operative mortality and the effective rate of maximal thymectomy was 79%. [Conclusions] Video-assisted maximal thymectomy is safe and effective in the treatment of myasthemia gravis, it is also a more invasive procedure the that done by midsternal incision.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第1期80-81,83,共3页
China Journal of Endoscopy
关键词
重症肌无力
胸腔镜术
胸腺扩大切除术
病理
疗效
myasthemia gravis
video-assisted thoracic surgery maximal thymectomy
pathology
curative effect
