摘要
目的探讨电视纵隔镜下经颈小切口行胸腺切除治疗小儿重症肌无力的可行性和有效性。方法选取2008年6月至2010年6月收治的12例重症肌无力合并胸腺增生或胸腺瘤形成的患儿，行电视纵隔镜下经颈小切口胸腺切除。结果12例患儿均经电视纵隔镜下颈部小切口完整切除胸腺及前纵隔脂肪，无一例患儿因出血或无法完整切除胸腺而中转开胸。术后随访6个月以上，症状均明显改善。结论电视纵隔镜下经颈小切口行胸腺切除治疗小儿重症肌无力具有创伤小、术后疼痛轻、并发症少、住院时间短等优点，是一种安全有效的手术方式。
Objective To investigate the feasibility and effecacy of thymectomy through video- mediastinoscopy in pediatric myasthenia gravis. Methods Between June 2008 and June 2010,12 chil- dren with myasthenia gravis with thymic hyperplasia or thymoma underwent thymectomy through vid- eo-mediastinoscopy. Results All the thymectomy were completed through video-mediastinoscopy. Thymus and fat in anterior mediastinum were excised completely. Patients were followed-up 6 month post-operatively and symptoms significantly improved. Conclusions Thymectomy through video-medi- astinoscopy for pediatric myasthenia gravis have many merits such as small wound, less post-operative pain, ,few complications and short length of hospitalization. It is a safe and effective approach for the condition.
出处
《中华小儿外科杂志》
CSCD
北大核心
2011年第7期481-483,共3页
Chinese Journal of Pediatric Surgery
关键词
纵隔镜外科手术
胸腺切除术
重症肌无力
Mediastinoscopic surgical procedures
Thymectomy
Myasthenia gravis
