心脏黏液瘤的诊断及手术治疗

Diagnosis and surgical treatment of cardic myxoma

目的探讨心脏黏液瘤的临床诊断和手术方式、疗效。方法回顾性分析2000年5月—2009年8月收治的16例心脏黏液瘤患者的资料。总结超声心动图诊断及手术治疗资料。本组中经手术证实,左房黏液瘤13例;右房黏液瘤3例,均在常规体外循环下行黏液瘤摘除术。结果 16例手术患者围术期无死亡,随访6个月～3年,无复发。结论超声心动图能准确的观察黏液瘤特征,有很高的诊断价值。确诊后限期手术是其治疗的有效方法,完整的摘除瘤体是心脏黏液瘤患者取得近、远期满意治疗效果的关键。

Objective To analyse the methzd and effect of surgery on cardiac myxoma.Methods We retrospectively analysed UCG reports,method and effect of surgery on 16 patients with cardiac myxoma from May 2000 to Aug 2009.In this group,there were 13 patients with left artial myxoma and 3 patients with right artial myxoma.These diagnosis were all confirmed in operation.All myxoma resections were performed under conventional CPB.Results No death occurred in all patients.All patients were followed-up by 6 months to 3 years.No recurrence was observed.Conclusions UCG can odserve the characteristics of myxoma accurately and have high value in diagnosis.We should treat myxoma soon after being diagnosed.Complete removement of myxoma was very important in surgery.