重症肌无力手术治疗与中医辨证分型的关系

Relationship between Thymectomy and Syndrome Differentiation-Typing Treatment of Myasthenia Gravis

对３７例重症肌无力患者施行胸腺切除手术。术前中医辨证为脾肾气阴两虚型２１例，脾肾阳虚型１５例，脾气虚型１例；合并胸腺肿瘤１９例。手术结果：脾肾气阴两虚组切除有效率为９５．２％，术后危象并发率为９．５％；脾肾阳虚组则分别为４６．７％及７３．３％。作者认为中医辨证分型对重症肌无力围手术期的处理有积极意义，为手术提供了可靠的指征并有助于术后预后的判断。

According to the theory of traditional Chinese medicine,37 patients suffering from myasthenia gravis were Syndrome-differentiated into following types preoperationally:(1)Both Qi-Yin Deficiency of Kidney-Spleen,21 cases.(2)Yang Deficiency of Kidney-Spleen,15 cases.(3) Qi Deficiency of Spleen only,one case.Thymectomy were done in all cases.Among them,19 cases had thymoma.The results showed the relationship between the types and the resectionability rate and post-operative crisis rate. On the first two types,they were 95.2% and 9.5%,46.7% and 73.3%respectively.It was considered that Syndrome differentiation-typing in TCM in the myasthenia gravis patients would provide an positive and reliable index for predicting the resectionability and prognosis of the patient.