原发性心脏肿瘤的外科治疗

Operative treatment of primary cardiac tumors

目的：观察心脏原发性肿瘤的发生、临床表现，讨论其手术治疗．方法：全组72例患者均为良性肿瘤，总结其医学资料，侧重于临床表现、诊断方法、术中所见及术后的康复．结果：多数患者表现为心脏症状（充血性心衰、心悸），部分患者有晕厥、动脉栓塞．手术死亡3例，对相伴随的心脏病变，2例行冠脉搭桥、1例二尖瓣置换、4例二尖瓣成形、3例三尖瓣成形术．结论：原发性心脏肿瘤是一种少见的肿瘤，多数可由心脏二维超声明确诊断且被手术切除．

Aim: To gain in sight into the occurrence,themanifestation and the treatment of the primary cardiactumors. Methods: There were 48 female and 24 male in thegroup. Their age rage from 3 to 48 years (mean 39), All ofthe group were benign tumors such as my-coma, fibromas,lipoma. The parients medical record were reviewed andspecial attention was paid to clinical presentations, methods ofdiagnosis, operative findings and postoperative course.Results: The majority of the presenting symptoms were cardiac(congestive heart failurs, palpitation ), some patients hadsyncope or embolization. There were 3 oprative deaths. Forassociated cardiac lesions: two parients underwent acoronary artery bypass graft,one mitral valve replacement, fourmitral valve annuloplasties, three tricuspid valveannuloplasties. Conclusion: Primary cardiac tumors are a kind ofrare tumors which in general can be accurately diagnosed onthe basis of echocardiography and which almost always canbe cured by surgical excision.