CAJ | 학술논문

目的探讨胸腺瘤的外科手术治疗方法以及安全性分析.方法通过对本院2006年1月至2008年5月35例胸腺瘤患者进行回顾性分析总结.结果35例患者其中肿瘤完整切除30例,占85.71%,部分切除5例,占14.29%;随访4年,复发2例,占5.71%.35例中合并重症肌无力26例,占74.29%,术后重症肌无力症状消失11例,占42.31%(11/26),症状缓解12例,占46.15%(12/26);症状无改善甚至加重3例,占11.54%(3/26).结论重症肌无力是胸腺瘤常见的并发症,手术是治疗胸腺瘤的主要手段,同时根据胸腺瘤分期的差异确定手术切除的范围.
목적탐토흉선류적외과수술치료방법이급안전성분석.방법통과대본원2006년1월지2008년5월35례흉선류환자진행회고성분석총결.결과35례환자기중종류완정절제30례,점85.71%,부분절제5례,점14.29%;수방4년,복발2례,점5.71%.35례중합병중증기무력26례,점74.29%,술후중증기무력증상소실11례,점42.31%(11/26),증상완해12례,점46.15%(12/26);증상무개선심지가중3례,점11.54%(3/26).결론중증기무력시흉선류상견적병발증,수술시치료흉선류적주요수단,동시근거흉선류분기적차이학정수술절제적범위.
@@@@Objective To probe the surgical treatment of thymoma and analysis the security of the treatment. Methods Retrospective analysis and summarize the data from January,2006 to May,2008 of the 35 patients with thymoma in our hospital. Results in the 35patients, there are 30 patients with complete resection of tumor, accounting for 85.71%,and 5 cases have been taken partial resection, which accounting for 14.29%;then the patients had been followed for 4 years, 2 cases had recurrence, which accounting for 5.71%. There are 26 cases of the patients have combine myasthenia gravis, accounting for 74.29%, after the surgical treatment, symptoms of myasthenia gravis disappeared in 11 cases, accounting for 42.31%(11/26), and symptoms alleviated in 12 cases, accounting for 46.15%(12/26);the symptoms did not improved or even aggravated in 3 cases, accounting for 11.54%(3/26). Conclusion Myasthenia gravis is a common concomitant disease in the patients with thymoma. Surgical treatment is the main method to cure thymoma, and the scope of the surgical resection determined according to the period of thymoma .