重症肌无力外科治疗72例报告

目的：探讨重症肌无力外科治疗的机理，疗效及围手术期处理。方法：胸骨正中入路或胸腺瘤切除及周围脂肪组织清扫。结果：术后死于呼衰2例。术后3a死于复发1例。87%病例有效（完全停药 小剂量维持），13%无缓解，结论：重症肌无力病人，特别是有胸腺增生或胸腺瘤者，应积极手术治疗，多数可获得良好疗效。

Surgical Therapy for Myasthenia Gravis ( Report of 72 Cases)

Objective: To explore the pathogenesis, therapeutic effect and perioperative treatment for myasthenia gravis. Methods: Approach to sternum median or thymectomy and peripheral adipose tissue's sweeping. Results: After operation, 2 cases died for respiratory failure, 1 case for recurrence. The surgical therapy for 87% of all cases were effective (entirely stopping treating + minimal dose maintaining), but other 13% no relief. Conclusion: myasthenia gravis patients, especially those with thymus hyperplasia or thymoma, should actively take surgical therapy, and the majority of them can be cured.