摘要
1980～1993年,我院手术治疗胸腺瘤38例。16例良性胸腺瘤手术后13例症状消失、无复发。恶性胸腺瘤13例,其中手术切除3例,死亡2例。部分切除2例,术后加放疗,随访2及4年未见复发;不能切除8例。胸腺瘤合并重症肌无力共11例(良性9例、恶性2例),行肿瘤及胸腺广泛切除后,2例症状消失,3例症状减轻,6例并发重症肌无力危象。本文讨论了短期应用较大剂量糖皮质激素在预防和治疗重症肌无力危象中的重要作用。
From 19'80 to 1993,38 cases of thymoma (25 benign and 13 malignant) were treated surgically in our hospital.Sixteen cases of benign thymoma showed no symptoms or sings of recurrence after resection.In 13 cases 'of malignant thymoma,3 cas- es underwent excision with two deaths;2 cases were treated with partial excision and postoperative radiation with no recurrence after 2 to 4 years re- spectively,and 8 cases couldn't be excised.Eleven cases of thymoma (9 benign and 2 malignant) com- plicated with myasthenia gravis (MG) underwent extensive excision of thymoma and thymectomy with relief of symptom in 2 cases and improvement in 3 cases,but 6 cases had compi- cation of crisis of MG The results indicate that surgical treat- ment has good effect on benign thymoma without complica- tion,little effect on malignant thymoma;fortunately,postop- erative radiation can improve the therapeutic effect;extensive excision of thymoma and thymectomy have little effect on MG due to the high rate of complication of crisis.The au- thors discuss the important role of massive dose of corticos- teroid used for a short term in the treatment of patients with crisis of MG.
出处
《中国胸心血管外科临床杂志》
CAS
1996年第1期24-26,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
胸腺瘤
外科手术
Thymoma
Surgical treatment
