摘要
目的针对重症肌无力的患者采用胸骨部分劈开行胸腺扩大切除术与经胸腔镜下胸腺扩大切除术两种不同治疗方法的临床效果进行探析。方法选取我院2009年4月至2013年4月期间收治的46例重症肌无力的患者为研究对象,随机分为试验组与对照组各23例。对照组患者采用胸骨部分劈开行胸腺扩大切除术,试验组患者采用经胸腔镜行胸腺扩大切除术,比较两组的临床治疗效果。结果试验组病情总缓解率为95.65%,显著高于对照组的60.87%,两组比较差异具有统计学意义(P<0.05)。试验组患者的手术时间、术中出血量、住院时间及胸管留置时间均优于对照组患者,两组比较差异具有统计学意义(P<0.05)。结论针对重症肌无力的患者采用经胸腔镜行胸腺扩大切除具有效果显著、创伤小、并发症少等优点,值得临床推广。
Objective To explore the clinical effects of thoracoscope and partial sternotomy for extended thymectomy in the treatment of myasthenia gravis. Methods 46 patients with myasthenia gravis in our hospital from April 2009 to April 2013 were selected as the research objects, and randomly divided into two groups, with 23 cases in each group. Patients in the control group received partial sternotomy for extended thymectomy, while patients in the experimental group received extended thymectomy under thoracoscope. The clinical effects were compared between two groups. Results The total remission rate of experimental group was 95.65%, significantly higher than 60.87% of control group （P 〈0.05）. The experimental group was superior to the control group in the operating time, operative blood loss, length of hospital stay, indwelling time of chest tube, all the differences of above indicator were statistically significant （P 〈0.05）. Conclusions For patients with myasthenia gravis, extended thymectomy under thoracoscope has the advantages of significant effect, less trauma and fewer complications, which is worthy of clinical promotion.
出处
《临床医学工程》
2014年第9期1135-1136,共2页
Clinical Medicine & Engineering
