| 摘要: |
| ［摘要］ 重症肌无力（MG）是一种获得性自身免疫性疾病，胸腺扩大切除术是治疗MG最重要的方法之一。然而，由于MG临床分型多样、解剖位置特殊、手术入路多样等，胸腺扩大切除术的手术指征、手术时机、手术方式、手术径路、围手术期管理、危象期手术以及疗效评价等仍存在争议。该科常年从事重症肌无力外科治疗，并牵头制定相关专家共识，现总结相关现状及争议供同道参考，规范重症肌无力外科的诊疗行为，以提高诊治水平。 |
| 关键词: 重症肌无力 外科治疗 胸腺扩大切除术 现状 争议 |
| DOI：10.3969/j.issn.1674-3806.2023.06.02 |
| 分类号: |
| 基金项目:重庆市应用创新及技术发展项目（编号：cstc2022ycjh-bgzxm0267） |
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| Current events and controversial issues: surgical treatment of myasthenia gravis |
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SHEN Chen, TAO Shao-lin, TAN Qun-you
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Department of Thoracic Surgery, Daping Hospital, Army Medical University, Chongqing 400042, China
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| Abstract: |
| ［Abstract］ Myasthenia gravis(MG) is an acquired autoimmune disease, and extended thymectomy is one of the most important treatment methods for MG. However, due to the various clinical types, special anatomical locations and surgical approaches of MG, there are still some controversies regarding extended thymectomy, including surgical indications, surgical timing, surgical manners, surgical procedures, surgical approaches, perioperative managements, critical surgery and efficacy evaluations. Our department has been engaged in the surgical treatment of MG for many years, and has taken the lead in formulating the relevant expert consensuses. Based on this, we summarize the relevant current events and controversial issues for reference by professionals in the same field, with the purpose of standardizing the diagnosis and surgical treatment behavior of MG and improving the diagnosis and treatment level. |
| Key words: Myasthenia Gravis Surgical treatment Extended thymectomy Current events Controversial issues |
