【摘要】 目的探讨胸腔镜胸腺扩大切除术治疗重症肌无力临床效果。方法选取2011年8月至2014年7月收治的重症肌无力患者64例,根据手术方法的不同随机分为研究组与对照组各32例,研究组患者予以胸腔镜胸腺扩大切除术治疗,对照组患者予以胸骨劈开胸腺切除治疗,观察对比两组治疗后效果、并发症情况以及手术时间、出血量、术后住院时间等。结果研究组和对照组治疗效果相当,手术时间相近,且并发症均较少,(P>0.05),差异无统计学意义;两组术中出血量、术后住院时间比较,研究组显著优于对照组(P<0.01),差异具有统计学意义。结论胸腔镜胸腺扩大切除术治疗重症肌无力效果显著,并发症少,创伤小,术中出血量少,安全性高,患者恢复快,值得临床推广应用。更多还原

【Abstract】 Objective To investigate the clinical results of thymus expand thoracoscopic resection in treatment of myasthenia gravis. Methods Patients with myasthenia gravis in our hospital from August 2011 to July 2014 were treated 64 patients were randomly divided into surgical methods according to the study group and the control group of 32 cases,the study group of patients to be expanded thoracoscopic resection of the thymus treatment,patients in the control group to be sternotomy thymectomy,observe contrast,complications and operative time,blood loss,postoperative hospital stay after treatment and so on. Results The study group and the control group treatment equivalent to similar operation time and complications are fewer,( P > 0. 05),the difference was not statistically significant; The blood loss,postoperative hospital stay in the study group was significantly than the control group,( P < 0. 01),the difference was statistically significant.Conclusion VATS resection thymus expanded treatment of myasthenia gravis significant effect,fewer complications,less trauma,less blood loss,safe,patient recovered quickly,worthy of clinical application.更多还原