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胸腺切除术是重症肌无力的有效治疗方法,但手术具有一定危险性,术后管理也有困难。本文报告在16年内对69例重症肌无力患者行放射线照射治疗的结果,其中X线照射19例、钴~(60)照射48例、X线及钴~(60)照射2例。结果:钴~(60)照射治疗者治愈11例、显著改善6例、轻度改善16例,总有效率68.8％,与胸腺切除术的疗效相同。X线照射治疗者因照射剂量较低,有效率仅36％。病程和钴~(60)照射疗效的关系;病程在3年以内者,治愈及显著改善的例数较多;年龄与疗效的关系;40岁以下者治愈与显著改善的例数较多。钴~(60)
Thymectomy is an effective treatment of myasthenia gravis, but the operation has a certain risk, and postoperative management is also difficult. This paper reports the results of radiotherapy for 69 patients with myasthenia gravis over 16 years, including 19 cases of X-ray irradiation, 48 cases of cobalt 60 irradiation, and 2 cases of X-ray and cobalt 60 irradiation. Results: In the group of cobalt ~ (60) irradiation, 11 cases were cured, 6 cases improved significantly, 16 cases improved slightly, the total effective rate was 68.8%, which was the same as that of thymectomy. X-ray treatment due to low doses, the effective rate of only 36%. Duration and cobalt ~ (60) radiation efficacy; duration of less than 3 years were cured and significantly improved the number of cases; the relationship between age and efficacy; 40 years of age were cured and significantly improve the number of cases. Cobalt ~ (60)