摘要目的 评价电视胸腔镜胸腺扩大切除术治疗重症肌无力的临床价值.方法 2005年3月至2009年3月福建医科大学附属第一医院胸外科62例重症肌无力患者在电视胸腔镜下行胸腺扩大切除术,切除范围包括胸腺组织及前上纵隔的脂肪组织.结果 全组手术均获成功,平均手术时间(98±26)min,术中平均出血量(60±29)ml,术后平均住院时间为(8.2±2.5)d.所有患者均获随访,随访时间5～48个月,完全缓解20例(32.3%),部分缓解32例(51.6%),稳定8例(12.9%),恶化2例(3.2%),总缓解率83.9%.结论 电视胸腔镜胸腺扩大切除术治疗重症肌无力技术可行、疗效可靠,具备微创、恢复迅速的优势.

abstractsObjective 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 Videoassisted thoracoscopic extended thymectomy is both feasible and reliable for MG with the advantages of a minimal trauma and a rapid recovery.