摘要
目的比较胸腔镜与开胸手术治疗胸腺瘤合并重症肌无力的效果。方法将我院收治的60例胸腺瘤合并重症肌无力患者随机分为实验组与对照组各30例。对照组采用常规开胸手术治疗,实验组采用胸腔镜手术治疗,比较两组患者的围术期指标及术后并发症发生情况。结果实验组手术时间与术后住院时间明显短于对照组,术中出血量与术后引流量明显少于对照组(P<0.05)。实验组重症肌无力治疗总有效率为93.33%,明显高于对照组的73.33%(P <0.05)。实验组术后并发症发生率为3.33%,明显低于对照组的20.00%(P <0.05)。结论胸腔镜手术治疗胸腺瘤合并重症肌无力患者具有创伤小、恢复快、疗效好及并发症发生率低等优势,值得推广。
Objective To compare the efficacy of thoracoscopy and thoracotomy in the treatment of thymoma complicated with myasthenia gravis.Methods 60 patients with thymoma complicated with myasthenia gravis admitted to our hospital were randomly divided into experimental group(30 cases)and control group(30 cases).The control group received routine thoracotomy,while the experimental group received thoracoscopy.The perioperative indicators and postoperative complications of the two groups were compared.Results The operation time and postoperative hospitalization time of the experimental group were significantly shorter than those of the control group,and the intraoperative blood loss and postoperative drainage volume were significantly less than those of the control group(P<0.05).The total effective rate of myasthenia gravis in the experimental group was 93.33%,significantly higher than 73.33%in the control group(P<0.05).The incidence of postoperative complications in the experimental group was 3.33%,significantly lower than 20.00%in the control group(P<0.05).Conclusions Thoracoscopic surgery in the treatment of patients with thymoma complicated with myasthenia gravis has the advantages of less trauma,faster recovery,better curative effect and lower incidence of complications,which is worthy of promotion.
作者
章文龙
杨文东
周金山
廖志振
刘航辉
黄敏乾
ZHANG Wenlong;YANG Wendong;ZHOU Jinshan;LIAO Zhizhen;LIU Hanghui;HUANG Minqian(Department of Thoracic Surgery,Huizhou First People's Hospital,Huizhou 516000,China)
出处
《临床医学工程》
2021年第3期283-284,共2页
Clinical Medicine & Engineering
