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    The phrenic nerve was withdrawn out supraclavicularly in 3 cases and subclavicularly from the 2nd intercostal space in 2 cases.
    膈神经自锁骨上抽出经皮下引至肌皮神经 3例 ,于锁骨下自第二肋间引出移位于肌皮神经 2例。
    Results With the upper limb hyperabducted at 120 degrees, anteriorly tilting at 30 degrees, through an 1.5 cm transverse incision made posteriorly to the margin of pectoralis major and along the second rib, the apparatus was inserted toward the point 6.5 cm laterally apart from the sternoclavicular articulation and 7.8 cm in depth, reaching the insertions of the anterior and middle scalene muscle on the first rib without injury to the nerves and vessels.
    结果侧卧位,上肢外展上举120°、前倾30°,取胸大肌后缘第二肋水平1.5cm皮肤横切口,器械沿胸壁向胸锁关节外侧6.5cm处插入7.8cm左右,顺利到达第一肋表面前中斜角肌止点,自皮肤至第一肋的走行中不伤及血管、神经。
    In the experimental group, the left phrenic nerve was harvested by open chest approach, which was withdrawn from the second intercostal space, and then anastomosed directly with the muscular branch of the flexor digitorom profundus of median nerve at the left side.
    实验组 :开胸切断左侧膈神经远端后从第二肋间抽出 ,与左侧正中神经的指深屈肌肌支缝接。
    ②The length from superior margin of the second parasternal rib to the entrance point of diaphragm:in male,on the left side(18.73±1.59)cm,on the right side(14.44±1.48)cm.
    ②自胸骨旁第二肋上缘至入肌点长度:男性左侧(18.73±1.59)cm,右侧(14.44±1.48)cm;
    ④The regressive equation between phrenic nerve length (Y)from superior margin of second rib to entrance point of diaphragm and body height (X).
    ④膈神经自第二肋上缘至入肌点长度(Y)与身高(X)的回归方程:男性左侧:Y=0.106X+0.881,右侧:Y=0.083X+0.253;
    Thymectomy by sternum transverse in second spatium intercostale incision in treatment of myasthenia gravis
    胸骨横断第二肋间切口胸腺切除治疗重症肌无力365例体会
    The X-ray image confirmed that the catheter tip was located at the second intercostal space, the maximal arterial flow rate was over 300ml/min.
    成功 5例X光摄片证实 ,导管前端位于第二肋间 ,最高血流量可达 3 5 0ml以上。
    Methods: A total of 365 cases of MG treated with thymectomy by sternum transverse in second spatium intercostale incision were orally administrated corticosteroids before the surgery, and cholinesterase inhibitor before and after the surgery.
    方法: 365例重症肌无力患者采用经前胸第二肋间横断胸骨小切口行胸腺切除术。 术前口服皮质类固醇、胆碱酯酶抑制剂改善肌无力症状,处理并发症;
    Aim: To evaluate the efficacy of thymectomy by sternum transverse in second spatium intercostale incision in treatment of MG.
    目的:评价胸骨横断第二肋间切口胸腺切除术治疗重症肌无力(MG)的效果。
 

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