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重症肌无力合并胸腺瘤患者手术疗效(附26例)

The Value of Thymectomy in Patients of Myasthenia Gravis with Thymoma
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摘要 目的 :研究重症肌无力 (MG)合并胸腺瘤患者胸腺切除术的疗效。方法 :按Masaoka分期将 2 6例MG合并胸腺瘤者分为Ⅰ期 6例 ,Ⅱ期 13例 ,Ⅲ期 6例 ,Ⅳ期 1例。全部行胸腺切除术。结果 :术后 4例发生危象。随访 2年 ,19例 ( 73 1% )的患者术后病情明显改善 ;7例 ( 2 6 9% )没有变化或者疗效差。结论 :MG合并胸腺瘤的患者应早期适时进行胸腺切除手术。 Aim:To clarify the effectiveness of thymectomy in patients of myasthenia gravis (MG) with thymoma.Methods:26 patients were classified based on the Masaoka's classification. Six out of 26 are in the stage Ⅰ,13 in the stage Ⅱ, 6 in Ⅲ,and 1 in Ⅳ.Of all 26 patients underwent thymectomy. Results: Two years late of thymectomy, 4 of 26 developed myasthenic crisis,and 19 of 26 (73.1%) MG patients clinical symptoms were improved,and 7 (26.9%) unchanged.Conclusion:The patients of myasthenia gravis with thymoma should be treated with thymectomy early or timely.
出处 《中国临床神经科学》 2004年第2期176-178,共3页 Chinese Journal of Clinical Neurosciences
关键词 重症肌无力 胸腺瘤 外科手术 治疗 myasthenia gravis thymoma thymectomy
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参考文献9

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