胸腔镜胸腺切除术治疗重症肌无力(附2例报告)

Thoracoscopic thymectomy to treat myasthenia gravis:with a report of 2 cases

目的:探讨胸腔镜胸腺切除术治疗重症肌无力的可行性。方法:2例重症肌无力合并胸腺增生(胸腺瘤)的患者行胸腔镜胸腺切除术。结果:2例患者胸腺均在胸腔镜下完整切除,无中转开胸及并发症。术后通过4个月电话随访,症状都有明显改善。结论:胸腔镜胸腺切除术具有创伤小,术后疼痛轻,并发症少,住院时间短,恢复快等优点,是一种非常有前途的技术。

Objective： To study the feasibility of thoracoscopic thymectomy. Methods ：2 cases of myasthenia gravis were selected to undergo thoracoscopic thymectomy. Results：2 cases undergo thoracoscopic thymectomy were completed successfully without any complication, following up 4 month ,the symptom of 2 case had significantly improve. Conclusions：thoracoscopic thymectomy is a safe method with shortly hospitalization, lower incidengce rate of complication, slight trauma and rapid recovery.