40例胸腺瘤合并重症肌无力的外科治疗

Surgical Therapy for Thymoma-Associated Myasthenia Gravis

目的对我科2007年1月至2011年4月外科治疗的40例胸腺瘤合并重症肌无力进行总结,以期提高治疗效果。方法回顾性分析40例胸腺瘤合并重症肌无力患者的手术效果。结果 40例均治愈出院,随访3月～2年,有效34(85%)好转4例(10%),无效1例(2.5%),恶化1例(2.5%)。结论外科切除胸腺瘤是治疗重症肌无力的一种有效手段,手术中彻底切除肿瘤和正确的围术期处理是降低手术后并发症和病死率的关键。

Objective In order to improve the treatment of thymoma-associated myasthenia gravis.this article summarized 40 cases of the illness operated from 2007.1 to 2011.4 in our department.Methods Review and analyze the Surgeries of the 40 cases of thymoma-associated myasthenia gravis.Result All 40 cases were success cured and discharged.According to the follow-up treatment form 3 months to 2 years,34 cases were cured,4 cases were improved,1 case were unchaged,1case were aggravated.Conclusion Surgical excision is a effective way to treat Myasthenia gravis,and the key point of reduce postoperative complications and mortality is resects the tumor completely and the perioperative management correctly.