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胸腺扩大切除治疗重症肌无力36例

Extended Thymectomy for Treatment of Myasthenia Gravis(Report of 36 cases)
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摘要 目的:探讨胸腺扩大切除治疗重症肌无力的疗效。方法:对1992年1月-2004年1月胸腺扩大切除治疗重症肌无力36例患者进行了随访,本组男19例,女17例,年龄15-69岁。术后随访2年以上(平均26.6个月)。疗效评价按Monden提出的标准,分为缓解、改善(以上二项称为有效)、无效和恶化。结果:本组36例中,缓解19例(52.7%),改善14例(38.9%),无效2例(5.6%),恶化1例(2.8%)。结论:胸腺扩大切除术是治疗重症肌无力有效而安全的方法。 Objective: To evaluate the effect of Extended thymectomy for myasthenia gravis. Methods: 36 patients with MG operated between Jan 1992 and 2004 were followed up. There were 19 man and 17 women aged from 15 to 69 years. The patients have been followed up for more than 2 years(mean 26.6months). The results of operation were classified into 4 grades: remission, improvement (efficiency includes remission and improvement), no change, and deterioration. Results: The patients having the long- term outcomes of remission, improvement, no change and deterioration were 19(52.7 % ), 14(38.9 % ), 2(5.6 % )and 1 (2.8 % )respectively. Conclusions: Extended thymectomy was effective and safety.
作者 王晓彬 李丹
出处 《内蒙古医学杂志》 2007年第9期1071-1072,共2页 Inner Mongolia Medical Journal
关键词 重症肌无力 胸腺切除术 Extended Thymectomy Myasthenia gravis
作者简介 王晓彬(1965-),男,山东省烟台市人。主治医师。
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