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目的分析儿童重症肌无力手术疗效。方法１９８４～１９９７年，共为３６例儿童重症肌无力患者行胸腺切除术，年龄４～１４岁，病程２个月～８年，按Ｏｓｓｅｒｉｍａｎ分型，其中１型２７例，Ⅱａ型６例，Ⅱｂ型２例，Ⅲ型１例，疗效评价分缓解、改善。无变化及恶化（或死亡）。结果本组缓解者占１３９％，改善６９．４％，有效率（缓解或改善）达８３３％，无恶化或住院死亡者。结论疗效与病程长短、具体分型及病理类型有关，与性别年龄无关，随访结果令人满意。
Objective To analyze the curative effect of children with myasthenia gravis. Methods From 1984 to 1997, a total of 36 children with myasthenia gravis underwent thymectomy, aged 4 to 14 years, duration of 2 months to 8 years, according to Osseriman classification, including 27 cases of type 1, 6 cases of type Ⅱ a, Ⅱ b type in 2 cases, type Ⅲ in 1 case, the efficacy evaluation points to alleviate and improve. No change and deterioration (or death). Results The responders in this group accounted for 139%, an improvement of 69.4%, the effective rate (alleviation or improvement) reached 833%, no deterioration or in-hospital death. Conclusions The curative effect is related to the duration of the disease, the specific typing and pathological type, and has nothing to do with gender and age, and the follow-up result is satisfactory.