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目的 :探讨胸腔镜辅助小切口治疗小儿重症肌力效果。方法 :通过临床随机对照实验方法 ,把 3 2例MG分为二组 ,分别以胸腔镜辅助小切口及常规正中开胸术行胸腺扩大切除治疗小儿重症肌无力 ,比较其方法及效果。结果 :二种方法近期效果差异无显著意义 (P >0 0 0 5 ) ,住院时间及术后疼痛时间差异有显著意义 (其中胸腺瘤 1例 ,胸腺增生 3 1例 ) ;随访半年～ 5年 ,效果满意。结论 :胸腔镜辅助小切口行胸腺扩大切除治疗小儿重症肌无力能获得常规手术效果 ,并能缩短住院时间
Objective: To explore the effect of thoracoscope-assisted small incision in treating pediatric severe muscular force. Methods: Thirty-two cases of MG were divided into two groups by randomized controlled clinical trial. Thymectomy assisted mini-incision and conventional median thoracotomy were performed to treat pediatric myasthenia gravis. Methods and effects were compared. Results: There was no significant difference in the short-term effect between the two methods (P> 0.05), the length of hospital stay and postoperative pain time were significant (1 case of thymoma, 31 cases of thymus hyperplasia); followed up for 6 months to 5 years Satisfactory results. Conclusion: Thoracoscopic assisted small incision thymus enlargement resection of pediatric myasthenia gravis can achieve the effect of conventional surgery, and can shorten the hospital stay