胸腺瘤合并重症肌无力14例的外科治疗

胸腺瘤合并重症肌无力(MG)并不少见,治疗上除了肿瘤具有浸润性生长外,还有MG自身免疫变化情况。我院2000年1月至2004年12月手术治疗14例胸腺瘤合并重症肌无力患者,取得良好疗效,现总结报告如下。1材料和方法1.1一般情况本组男性4例,女性10例,年龄18~62岁,中位年龄48.6岁。病程0

Surgical treatment of 14 cases of myasthenia gravis with thymoma

Objective To conclude experience of peri-operation and surgical treatment for myasthenia gravis (MG) with thymoma.Methods The clinical data of surgical treatment for 14 cases of MG with thymoma had been analyzed retrospectively.Results None died in 14 cases . 3 cases complicated with myasthenia gravis crisis in early stage post-operation and were saved successfully after treatment of intubations and artificial respiratory machine assisted respiratory. All the cases were followed up 6 months to 5 years, 4 cases of MG relieved completely, 7 cases relived partially and 3 cases didn't change.Conclusion The comprehensive treatment including operation ,radiotherapy and chemotherapy should be considered for MG with thymoma. strengthening the management of peri-operation , preventing and reducing the myasthenia gravis crisis are good to the recovery of patient.