延髓型重症肌无力吞咽障碍手术疗效分析

Surgical effect of dysphagia in patients with bulbar myasthenia gravis

回顾性分析2003年5月至2010年8月我科42例行电视胸腔镜下胸腺扩大切除术（VATET）治疗延髓型重症肌无力患者的临床资料,并与同期仅行药物治疗的42例患者比较.接受VATET治疗患者术后吞咽障碍评分为（9.21±0.41）分,明显忧于单纯服药组（4.32 ±0.23）分,吞咽障碍评定分级也明显改善（均P＜0.05）.VATET可有效改善延髓型重症肌无力患者的吞咽障碍状况,疗效确切.

To retrospectively analyze the clinical data of 42 patients at our department with bulbar myasthenia gravis.They underwent video-assisted thoracoscopic extended thymectomy （VATET） from May 2003 to August 2010.Another 42 patients treated with medications alone were selected as controls.Compared with the control group （4.32 ± 0.23）,postoperative dysphagia scores improved significantly in patients undergoing VATET（9.21 ±0.41）.And so did the dysphagia assessment classification （P 〈0.05）.Thus VATET could effectively and definitely relieve dysphagia in patients with bulbar myasthenia gravis.