摘要
目的对比胸腔镜与经胸骨切除胸腺手术在重症肌无力的疗效。方法抽取医院(2014年2月—2018年2月)收治的23例重症肌无力患者为研究对象,以分组依据将23例患者分为对照组、实验组。对照组(11例)采用经胸骨切除胸腺手术治疗,实验组(12例)用胸腔镜治疗。对比2组治疗效果。结果与对照组相比,手术时间、术后引流量时间、住院时间实验组较短,且术中出血量、术后引流量实验组较少(P<0.05);并发症发生率、复发率与对照组比较,实验组较低(P<0.05)。结论胸腔镜切除胸腺手术治疗重症肌无力治疗效果显著。
Objective To compare the efficacy of thymectomy with thoracoscopy in the treatment of myasthenia gravis.Methods Twenty-three patients with myasthenia gravis admitted to our hospital from February 2014 to February 2018 were selected as the research objects.According to the grouping,23 patients were divided into control group and experimental group.The control group(11 cases)was treated by thymectomy,while the experimental group(12 cases)was treated by thoracoscopy.The therapeutic effects of the two groups were compared.Results Compared with the control group,the experimental group had shorter operation time,postoperative drainage time and hospitalization time,and less bleeding volume and postoperative drainage volume(P<0.05);the incidence of complications and recurrence rate were lower in the experimental group than in the control group(P<0.05).Conclusion Thoracoscopic thymectomy is effective in the treatment of myasthenia gravis.
作者
杨正宏
冯锦希
YANG Zhenghong;FENG Jinxi(General Surgery Department,Chongqing Southeast Hospital,Chongqing 401336,China)
出处
《中国继续医学教育》
2020年第7期112-114,共3页
China Continuing Medical Education
关键词
胸腔镜
经胸骨切除胸腺手术
重症肌无力
并发症
治疗总有效率
复发率
thoracoscopy
thymectomy via sternum
myasthenia gravis
complications
total effective rate of treatment
recurrence rate
