天津医药

• 临床论丛 • 上一篇    下一篇

胸腔镜下胸腺切除术的临床分析

陆荣国1,陈静瑜2,郑明峰2   

  1. 1. 无锡市人民医院 胸外科
    2. 无锡市人民医院
  • 收稿日期:2010-05-26 修回日期:2010-07-30 出版日期:2011-01-15 发布日期:2011-01-15
  • 通讯作者: 陆荣国

  • Received:2010-05-26 Revised:2010-07-30 Published:2011-01-15 Online:2011-01-15

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摘要： 目的 探讨电视胸腔镜下胸腺切除术治疗胸腺瘤和重症肌无力的安全性和可行性。 方法 2007年01月至2009 年12月我院共施行胸腔镜下胸腺切除术治疗26例，其中男18例，女8例；年龄17-62岁，平均43.1岁。行胸腺全切术21例，合并重症肌无力行胸腺扩大切除术5例。 结果 无中转开胸者，2例重症肌无力患者术后予无创呼吸机辅助呼吸3d，余无严重并发症，无手术死亡，手术时间（115土25.5）min，术中出血量（50土5）ml，术后引流量（60土22）ml，平均术后住院天数5.2d。 结论 胸腔镜下胸腺切除术是治疗胸腺瘤的安全、有效的术式，具有创伤小、恢复快、并发症少的特点。

关键词: 胸腺瘤 胸腔镜 胸腺切除术, 重症肌无力

Abstract: Objective To investigate the feasibility and of Video-assisted thoracoscopic thymectomy. Methods Twenty-six patients with thymic diseases received video-assisted throacoscopic surgery（VATS）between January 2007 and December 2009.There were 18 male and 8 female，aged 17 to 62，mean 43.1years. 21 total thymectomy and 5 extended thymectomy for myasthenia gravis（MG）were performed. Results Complete thymectomy was achieved in every case. Postoperative temporary mechanical ventilation （3d）was required in 2 patients with MG. There was no other severe complications and no mortality. Conclusions Video-assisted thoracoscopic thymectomy is safe and effective with the advantage of less invasion，quick recovery and less complications.