پیگیری چهار ساله نتایج تایمکتومی و درمان 19 بیمار مبتلا به میاستنی گراو
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Abstract:
Myasthenia Gravis(MG) is an autoimmune disease, charcterized by weakness of voluntary muscles. It is related to thymus gland and thymectomy is preffered in treatment of MG. The aim of this study was to evaluate results of thymectomy during 4 years after operation. Twenty-five patients, who underwent thymectomy , followed for 4 years. We excluded 6 patients because they didn’t come back for evaluation. 10 cases of the patients, were male and 9 cases were female. Their age range were between 4 to 55 years and 15 cases were under 30 years old. Preoperative Osserman classification showed 17 cases were in stage II and 2 cases were ocular type and were resistant to medical therapy in stage I. In result of thymus pathology, 13 cases was reported hyperplasia and 3 cases had normal thymus, 2 cases with thymoma and one of them had lipoma in thymus . Two patients were involved myasthenic crisis, but in general 17 cases of patients showed improvement. This study showed the high efficacy of thymectomy in treatment of MG; but it is essential to perform longer study in this field
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full textاثر درمانی تایمکتومی در بیماران مبتلا به میاستنی گراویس
Background: Myasthenia Gravis (MG) is a neuromuscular disorder with weakness of skeletal muscles. Thymectomy is now recognized as a treatment modality in MG. The aim of this study was to evaluate the clinical effect of thymectomy on MG. Methods: MG patients with history of thymectomy at a tertiary referral center during twelve year period were included. The medical records were reviewed and te...
full textمعرفی یک مورد اداره بیهوشی بیمار مبتلا به میاستنی گراویس جهت عمل جراحی تایمکتومی
زمینه و هدف: بیهوشی در بیماران میاستنی گراویس جهت انجام تایمکتومی، بحثی چالش‌برانگیز برای تمام متخصصان بیهوشی است. در این بیماری حتی مقادیر اندک از داروهای شل‌کننده عضلانی می‌تواند منجر به تأخیر در ریکاوری عضلات تنفسی گردد. معرفی مورد: در این مقاله به معرفی رژیم بیهوشی، برای خانم 26 ساله‌ای که با تشخیص میاستنی گراویس، خواستار عمل جراحی تایمکتومی بود، پرداخته شده است. جهت اداره بیهوشی چنین بیم...
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volume 9 issue 2
pages 0- 0
publication date 2002-09
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