谷峰 张鹏 张熙曾 谷峰(天津医科大学附属肿瘤医院胸科 天津市 300060)；张鹏(天津医科大学总医院胸外科)；张熙曾(天津医科大学附属肿瘤医院胸科 天津市 300060) 中国肿瘤临床 2000 0 27 7


    关键词：胸腺瘤；外科治疗；疗效 期刊 zgzllc 0 论著 fur -->/literature/library/imagebase/imagebase03.asp?keyword=胸腺瘤；外科治疗；疗效


    

摘要 目的：总结1985年至1998年胸腺瘤外科治疗的经验。方法：对手术治疗的109例胸腺瘤患者作回顾性分析。结果：肿瘤完整切除76例，姑息切除19例，探查活检14例。按Masaoka分期：Ⅰ期27例，Ⅱ期41例，Ⅲ期32例，Ⅳa期9例。术后并发肌无力危象11例，2例死亡。5年生存率为64.5%。结论：手术切除范围、临床分期、术后放疗是影响预后的重要因素。术后肌无力危象是围术期死亡的首要原因。外科治疗应尽可能行完整切除，以减少复发，提高疗效。

Surgical Treatment of Thymoma

Gu Feng Zhang Peng Zhang Xizeng

    (Department of Thoracic Surgery,Cancer Hospital of Tianjin Medical University,Tianjin)

Abstract Objective:To summarize the experience in surgicasltreatment of thymoma from 1985 to 1998.Methods:One hundred and nine cases of thymoma undergone operation were analysed retrospectively.Results:Surgical procedures included radical resection 76,palliative resection 19 and exploration 14.According to Masaoka staging system ,27 cases were in stage I,41 cases in stage II,32 cases in stage III and 9 cases in stage IVa.The postoperative complication was myasthenia crisis (11 cases) with two deaths.The 5-year survival rate was 64.5%.Conclusion:The resected extent,clinical staging and postoperative radiotherapy are the most important factors affecting the prognosis of this disease.Try best to resect the tumor thoroughly can improve the therapeutic effect and prevent recurrence.

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