[电视辅助胸腔镜扩大胸腺切除术治疗重症肌无力：62例报告]
[Video-assisted thoracoscopic extended thymectomy for myasthenia gravis: report of 62 cases].
作者信息
Chen Jian-feng, Tu Yuan-rong, Li Xu, Lin Min, Lai Fan-cai, Qu Ming-lian
机构信息
Department of Thoracicsurgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2010 Oct 26;90(39):2770-2.
OBJECTIVE
To evaluate the clinical value of video-assisted thoracoscopic extended thymectomy for myasthenia gravis(MG).
METHODS
Sixty-two MG cases underwent video-assisted thoracoscopic extended thymectomy. The operative extension included thymus tissue and adipose tissue in anterior superior mediastinum.
RESULTS
All operations were performed successfully. The mean operating duration, mean intraoperative blood loss and mean postoperative hospital stay was 98 ± 26 minutes, 60 ± 29 ml and 8.2 ± 2.5 days respectively. All cases were followed up for 5 to 48 months. Among them, 20 (32.3%) patients achieved a complete relief, 32 (51.6%) had their improved symptoms, 8 (12.9%) remained stable and 2 (3.2%) became worse. And the overall relief rate was 83.9%.
CONCLUSION
Video-assisted thoracoscopic extended thymectomy is both feasible and reliable for MG with the advantages of a minimal trauma and a rapid recovery.
目的
评估电视胸腔镜扩大胸腺切除术治疗重症肌无力（MG）的临床价值。
方法
62例MG患者接受电视胸腔镜扩大胸腺切除术。手术范围包括前上纵隔的胸腺组织和脂肪组织。
结果
所有手术均成功完成。平均手术时间、平均术中出血量和平均术后住院时间分别为98±26分钟、60±29毫升和8.2±2.5天。所有病例均随访5至48个月。其中，20例（32.3%）患者完全缓解，32例（51.6%）症状改善，8例（12.9%）病情稳定，2例（3.2%）病情恶化。总缓解率为83.9%。
结论
电视胸腔镜扩大胸腺切除术治疗MG可行且可靠，具有创伤小、恢复快的优点。
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