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电视胸腔镜手术对非胸腺瘤重症肌无力中期疗效和生活质量的影响
引用本文:刘宗亮.电视胸腔镜手术对非胸腺瘤重症肌无力中期疗效和生活质量的影响[J].中国现代医生,2011,49(31):153-154.
作者姓名:刘宗亮
作者单位:山东中医药大学第二附属医院胸外科,山东济南,250001
摘    要:目的探讨非胸腺瘤重症肌无力(NTMG)患者采用电视胸腔镜手术(VATSH芷行治疗后的中期疗效及其生活质量。方法选取来我院进行治疗的NTMG患者32例,均采用VATS进行治疗,观察术后3年的治疗效果及其患者的生活质量。结果所有的患者均顺利完成手术。术后3年患者的DeFilippi分级1—3级、4—5级分别为32、0例,治疗的总有效率达到100%;与术前的MGFA评分比较,术后评分显著较低(P〈0.05);与术前EORTC—QLQ评分比较,术后评分均较高,除社会功能一项外均具有显著性差异(P〈0.05)。结论NTMG患者采用VATS进行治疗后,能够显著改善其临床症状,使其生活质量得到明显提高,且术后具有较少的并发症。

关 键 词:非胸腺瘤重症肌无力  电视胸腔镜  中期疗效  生活质量

Influence of VATS Treatment of NTMG Patients on Medium-term Efficacy and Quality of Life
Authors:LIU Zongliang
Institution:LIU Zongliang (Shandong University of TCM Second Affiliated Hospital, Jinan 250001, China)
Abstract:Objective To investigate the efficacy and quality of life of patients with NTMG treated with VATS. Methods Thirty-two cases with NTMG in our hospital were treated using VATS,the efficacy and quality of life after 3 years of treatment observed. Results All patients were successfully operated. After 3 years of DeFilippi grade level of 1-3, 4-5 were 32,0 cases, the total were efficiency was 100%; Compared MGFA score preoperative, postoperative was significantly lower (P 〈 0.05 ); Compared EORTC-QLQ score preoperative, postoperative were higher, in addition to social function, the other were significant differences ( P 〈 0.05 ). Conclusion NTMG patients treated with VATS can significantly improve the clinical symptoms and quality of life, it has fewer postoperative complications.
Keywords:Non-thymoma myasthenia gravis  VATS  Medium-term efficacy  Quality of life
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