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胸骨上段正中小切口胸腺切除术45例临床分析 被引量:2

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摘要 目的 :探讨胸骨上段正中小切口胸腺切除术治疗重症肌无力的可行性及临床效果。方法 :自 2 0 0 1年1~ 1 2月 ,45例重症肌无力患者经胸骨上段正中小切口行胸腺切除术。结果 :本组病例没有发生与小切口相关的并发症。皮肤切口长度 6~ 8cm ,平均 6 7cm。 4例患者 (8 9% )症状完全缓解 ,2 8例患者 (62 2 % )症状明显缓解 ,7例患者 (1 5 6 % )症状轻度缓解 ,仅 6例患者 (1 3 3 % )症状无改善。结论 :胸骨上段正中小切口胸腺切除术是外科治疗重症肌无力的一种安全有效的术式 ,微创 。
出处 《实用医学杂志》 CAS 2003年第1期58-59,共2页 The Journal of Practical Medicine
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同被引文献34

  • 1柳阳春,章晔,谢爱民,涂寒剑.“J”型胸骨上段切口胸腺切除治疗重症肌无力20例报告[J].江西医药,2005,40(1):10-11. 被引量:8
  • 2刘吉福.颈胸倒“L”形小切口治疗颈胸结合区肿瘤临床分析[J].中华医学杂志,2006,86(8):570-571. 被引量:5
  • 3王旭广,杨鲲鹏,寿化山,丁旭青,郭亮.重症肌无力胸腺切除术后发生肌无力危象的危险因素[J].中华胸心血管外科杂志,2006,22(4):268-269. 被引量:15
  • 4Roxanis I, Micklem K, McConville J, et al. Thymic myoid cells and germinal center formation in myasthenia gravis; possible roles in pathogenesis. J Neuroimmunol, 2002, 125 (1-2) : 185- 197.
  • 5Pishchik VG, Iablonskii PK, Nuraliev SM. A technique of videothoracoscopic thymectomy in diseases of the thymus. Vestn Khir Im I I Grek, 2005,164(3): 46-51.
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  • 9DeFilippi VJ, Richman DP, Ferguson MK. Transcervical thymectomy for myasthenia gravis. Ann Thorac Surg, 1994,57 (1): 194-197.
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