心脏原发肿瘤182例的诊断与外科治疗

Diagnosis and surgical management of primary cardiac neoplasms for 182 cases

为了总结原发性心脏肿瘤诊断和外科治疗的经验,回顾分析182例原发性心脏肿瘤患者的临床资料。结果全组患者均经心脏超声检查确诊;黏液瘤176例,恶性肿瘤6例。手术完整切除肿瘤177例,大部分或部分切除肿瘤2例,取活检3例。围手术期死亡5例,术后复发7例。初步研究结果提示,心脏肿瘤以心房黏液瘤多见,手术治疗心脏良性肿瘤近、远期效果理想。恶性肿瘤早期诊断早期手术治疗可能延长患者生存期。

The objective of this study was to review and summarize the experience in diagnosis and surgical management of primary cardiac neoplasms. A total of 182 patients with primary cardiac neoplasms were treated surgically. Those tumors were grouped into 2 categories: myxomas (176 cases) and malignant tumors(6 cases). Clinical and echocardiographic data of all the patients were abstracted. All the patients underwent excision of myxoma under cardiopulmonary bypass. The complete resection of tumor was achieved in 1...