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目的 :探讨外科治疗胸腺瘤合并单纯红细胞再生障碍性贫血 (PRCA)的效果。方法 :总结 1985～ 2 0 0 0年在我院接受外科治疗的 3例胸腺瘤合并PRCA病人资料 ,并复习有关文献。结果 :本组 3例胸腺瘤合并PRCA者 ,占我院同期胸腺瘤病例数的 6 .2 5 %。均经胸骨正中切口手术 ,除切除胸腺瘤外 ,还对胸腺组织及前纵隔脂肪组织进行清扫。1例随访 12年 ,1例随访 1年 ,均无复发 ,并恢复正常生活。 1例术后 5个月复发 ,1年后死亡。结论 :胸腺瘤合并PRCA是一种少见疾病 ,外科治疗对PRCA是有效的 ,也是治疗本病的首选方法
Objective: To investigate the surgical treatment of thymoma with pure red cell aplasia (PRCA) effect. Methods: Three cases of thymoma combined with PRCA who underwent surgical treatment in our hospital from 1985 to 2000 were summarized, and the related literatures were reviewed. Results: The three cases of thymoma with PRCA, accounting for the same period in our hospital, the number of cases of thymoma 6.52%. All through the midline incision surgery, in addition to removal of thymoma, thymus tissue and anterior mediastinal adipose tissue were also cleaned. One case was followed up for 12 years and one case was followed up for 1 year. No recurrence was found and normal life returned to normal. One patient recurred 5 months after operation and died one year later. Conclusion: Thymoma with PRCA is a rare disease, surgical treatment of PRCA is effective, but also the preferred method of treatment of the disease