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目的 总结胸腺切除治疗重症肌无力围手术期的处理经验。方法 回顾 1989年 7月～ 2 0 0 2年 7月的临床资料 ,并结合文献进行分析。结果 胸腺单纯切除的患者术后优良率 5 0 % ,胸腺并肿瘤切除 +前纵隔脂肪清除并常规辅助机械呼吸的患者术后优良率 82 .3% ,两者比较有显著性差异 (P <0 .0 5 )。结论 恰当的手术时机和合理的手术方法以及呼吸机辅助呼吸 ,可使患者的并发症减少 ,预后良好。
Objective To summarize the experience of perioperative management of thymectomy for myasthenia gravis. Methods The clinical data from July 1989 to July 2002 were reviewed and analyzed in combination with the literature. Results The excellent and good rate of postoperative thymectomy was 50%. The excellent and good rate was 82.3% after thymus resection combined with anterior mediastinum fat removal and conventional mechanical respiration. There was a significant difference between the two groups (P <0. .0 5). Conclusion The appropriate timing of surgery and reasonable surgical methods and ventilator assisted breathing can reduce the patient’s complications, the prognosis is good.