摘要
目的观察外科治疗重症肌无力的效果，探讨肌无力危象的防治要点。方法2000年2月至2010年2月我科治疗重症肌无力患者36例，采用胸骨正中切口35例，左前外侧切口I例，手术均行胸腺瘤或者胸腺脂肪组织切除及纵隔脂肪组织清扫。结果有效33例（9167％），无效3例（8．33％）。Osserman分型：I型10例，IIa型16例，IIb型8例，III、IV型2例。结论胸腺切除术治疗重症肌无力疗效可靠，病程长短、Osserman分型和胸腺的病理类型是术后肌无力危象发生的相关危险因素，治疗效果与病程、Osserman临床分型有关。
Objective： To observe the effect of surgical treatment of myasthenia gravis, prevention and treatment of myasthenia gravis crisis point. Methods： February 2000 to February 2010 our department treated 36 cases of patients with myasthenia gravis. 35 cases with sternal median incision, the left anterior lateral incision in 1 case, surgery underwent resection of thymoma or thymus and mediastinal fat tissue fatty tissue dissection. Result： Effective in 33 cases （91.67%）, Invalid 3 cases （8.33%）. Osserman classification： I type 10 cases, II a type 16 cases, II b type 8, III, IV type 2 cases. Conclusion： Thymectomy for myasthenia gravis reliable efficacy, duration of disease, Osserman classification and pathological thymus of myasthenic crisis occurred in postoperative risk factors, treatment and course of disease, Osserman clinical pattern.
