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我科自1966年3月至1991年7月采用胸腺切除术治疗重症肌无力63例。现将我们的体会总结如下: 临床资料本组男27例,女36例。年龄<10岁者11例,11～20岁7例,21～30岁13例,31～40岁13例,41～50岁8例,51～60岁10例,>61岁1例。按Monden改良的Osserman分型:重症肌无力仅限于眼肌者为Ⅰ型;轻度累及全身者为Ⅱ_A型;严重累及全身者为Ⅱ_B型;急性者为Ⅲ型。本组Ⅰ型16例,Ⅱ_A型18例,Ⅱ_B型20例,Ⅲ型9例。病期最短者1个月,最长者15年,平均1年9个月。全部病人都进行了胸部X线正侧位照片,发现胸腺瘤9例。纵隔增宽1例,胸腺未见异常53例。CT扫描7例,诊断胸腺瘤4例,胸腺增生2例,胸腺未见异常1例。
My department from March 1966 to July 1991 thymectomy for the treatment of myasthenia gravis in 63 cases. Now our experience is summarized as follows: Clinical data The group of 27 males and 36 females. 11 patients aged <10 years old, 7 cases of 11 to 20 years old, 13 cases of 21 to 30 years old, 13 cases of 31 to 40 years old, 8 cases of 41 to 50 years old, 10 cases of 51 to 60 years old, 1 case> 61 years old. Osterman classification according to Monden’s modified: myasthenia gravis limited to the ocular muscles were type I; mild involvement of the whole body was type II_A; severely involved the body as Ⅱ B type; acute type Ⅲ. The group Ⅰ type 16 cases, Ⅱ A type 18 cases, Ⅱ B 20 cases, Ⅲ type 9 cases. The shortest period of 1 month, the longest 15 years, an average of 1 year and 9 months. All patients had a chest X-ray is a lateral picture and found thymoma in 9 cases. 1 case of mediastinal widening, no abnormal thymus in 53 cases. CT scan in 7 cases, 4 cases of thymoma, 2 cases of thymus hyperplasia, 1 case of abnormal thymus.