From the Departments of Surgery, Shiraz University a/Medical Sciences, Shiraz, Islamic Republic of Iran.
Abstract: (3724 Views)
A retrospective comparative study was performed on 54 patients treated
medically or surgically (thymectomy) for myasthenia gravis (MG) from 1979-
1989 in three Shiraz University Hospitals. Each surgical patient was compared
with a medical patient on the basis of age, sex, severity and duration of disease.
Complete remission was noted in 3 out of 27 thymectomized patients but in none
of the medically treated patients. Improvements occurred in IS of 27 surgical
patientS and 4 out of 27 medically treated patients during 4 years of follow-up.
Patients undergoing thymectomy had a significantly better chance of long
survival. Three patients in the medically treated group had died because of
myasthenia gravis as compared to 1 in the surgically treated group. Concerning
survival in relation to sex, duration of symptoms and age, there was no significant
difference between the two groups. Until more effective treatment becomes
available for myasthenia gravis, thymectomy deserves consideration for all
patients with chronic symptoms.
Type of Study:
Original Research |
Subject:
Surgery