【摘要】 目的 探讨电视胸腔镜手术治疗胸腺疾病的疗效。 方法 自1996年4月～2004年10月，我院胸腔镜手术治疗胸腺瘤和胸腺伴随综合征(重症肌无力或单纯红细胞再生障碍性贫血)15例。术后病理为良、恶性胸腺瘤和畸胎瘤。 结果 手术时间平均为136min，术中平均出血50ml，术后平均放置胸管时间48h，平均住院时间5天，平均随诊2.7年，无肿瘤复发。 结论 胸腔镜治疗胸腺瘤和重症肌无力的短期随诊疗效满意。

    【关键词】 胸腺切除术 胸腔镜 胸腺瘤

    Video-assisted thoracoscopic management of thymic disease

    Ge Feng，Cao Zhili，Li Li

    Department of Thoracic Surgery，PUMC Hospital，Beijing100730.

    【Abstract】 Objective To explore the efficacy on video assisted thoracosopic management of thymic disease.Methods 15patients with thymomas or/and paraneoplastic syndromes，including myasthenia gravis(MG)or pure red cell aplasia，treated with video-assisted thoracoscopic surgery were reviewed in our hospital from Apirl1996to Octo-ber2004.Their tumor pathologies included benign or malignant thymoma and teratoma.Results The mean opeation time was136minutes.The mean blood loss was50ml.The mean insertion time of chest tubes was48hours.The mean admission time was5days.No tumor recurrence has been seen durging the mean follow-up of2.7years.ConclusionThe short-term results support the feasibility of VATS in managing thymoma and MG. ......