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近年随着电视胸腔镜手术(VATS)的发展,全身麻醉胸腔镜胸腺瘤切除术已成为治疗重症肌无力合并胸腺瘤的首选方法[1-2]。随着微创腔镜技术和麻醉管理的进一步发展,我科自2012年9月至2013年3月选择8例无肺部疾病、胸膜粘连等病史的患者,采用硬膜外麻醉加胸内迷走神经阻滞下行胸腔镜下胸腺瘤切除术,疗效满意,证实了硬膜外麻醉下行胸腔镜胸腺瘤切除术的安全性和可行性,现总结其临床经验。
In recent years, with the development of video-assisted thoracoscopic surgery (VATS), general anesthesia thoracoscopic thymoma resection has become the preferred method of treatment of myasthenia gravis combined thymoma [1-2]. With the further development of minimally invasive endoscopic techniques and anesthesia management, eight patients with no history of pulmonary disease and pleural adhesions were selected from September 2012 to March 2013 in our department. Epidural anesthesia plus intrathoracic vagal Blocking the thoracoscopic thoracoscopic resection of thymoma, with satisfactory results, confirmed the descend thoracoscopic thymoma resection of the epidural anesthesia safety and feasibility, are summarized clinical experience.