小儿心脏肿瘤的诊断与外科治疗——附6例报告

Diagnosis and surgical treatment of primary cardiac tumors in children:six cases report

目的探讨小儿心脏肿瘤的诊断及外科治疗。方法回顾分析我院1993～1999年收治的6例经手术病理确诊心脏肿瘤患儿的临床资料。结果2例术后放弃治疗,其余病例随访2年恢复良好。结论小儿心脏肿瘤的诊断主要依靠超声心动图,近年来又发现食道超声及MRI检查对心脏肿瘤的诊断有很大帮助。一般良性肿瘤的手术效果较为满意,预后好。恶性肿瘤因病变快、病情重,治疗效果不佳,即使手术能完全切除仍需辅以放疗或化疗,预后差。

Objective To explare the diagnosis and surgical treatment of primary cardiac tumor in children.Methods The clinical data of 6 patients with cardiac tumors,2 male and 4 female,aged from 4 months to 8 years,admitted to our hospital from 1993 to 1999,confirmed by operation and pathology,were analyzed retrospectively.Results All cases underwent operation.Two patients with malignant tumors were given up after the operation. Another 4 patients with benign tumors showed good result in two years'follow-up.Conclusion Diagnosis of cardiac tumors in childhood is depended on Echocardiogram,computed tomography,and magnetic resonance imaging.For primary cardiac tumors,early diagnosis and early operation can result in successful outcome,especially in benign tumors.Long survival has been known in resection of the benign tumors.However,the prognosis of malignant is poor.