胸腺瘤的外科治疗研究进展

Progress in surgical treatment of thymoma

胸腺瘤是一种潜在恶性肿瘤,手术是其主要的治疗方法.经胸骨正中切口全胸腺切除术是标准术式,但随着微创技术日趋成熟,对于早期胸腺瘤患者,微创手术已取代传统开放手术.对于无重症肌无力的早期胸腺瘤患者要行全胸腺切除,伴有重症肌无力或非早期胸腺瘤需行扩大胸腺切除术,并建议至少对N1站淋巴结进行清扫或采样.对于复发性胸腺瘤,再次手术仍可获得较好的临床疗效.

Thymoma is a potential malignant tumor,and surgery is the main treatment.Total thymectomy via median sternal incision is a standard operation,but with the development of minimally invaivse technology,minimally invasive surgery has replaced the trdaitional open surgery for patients with early thymoma.For patients with eayr lthymoma without myasthenia gravis,total thymectomy should b eperformed,and extended thymectomy should be performed for patients with myasthenia gravis or non early thymoma,and it is recommended that lymph nodes of N1 station be cleaned or sampled at least.For recurrent thymoma,reoperation can still obtain good clinical efect.