心脏黏液瘤的外科治疗

Surgical treatment of atrial myxomas

目的：总结36例心脏黏液瘤的外科治疗经验。方法：回顾性分析我院自2009年1月至2015年1月间,36例心脏黏液瘤病例手术资料,男性16例,女性20例;平均年龄：（34±4.6）岁,病程1~96个月。诊断为左心房黏液瘤34例,右心房黏液瘤2例,均在体外循环下行黏液瘤摘除术。结果：所有患者手术顺利,无手术死亡。平均ICU入住时间：（1.3±0.2）天,平均住院时间：（12±1.5）天,均无严重并发症。32例患者定期随访1~3年,总随访512个月,平均随访37个月,总的随访率88.9%。所有随访患者心功能I级（NYHA）,未见复发和晚期死亡病例。结论：心脏黏液瘤的手术效果确切,手术安全,复发率低。

Objective：To sum up the experience of surgical treatment for atrial myxomas. Methods： Between January 2009 and January 2015,36 patients with atrial myxomas ,34 cases with left atrial myxomas and 2 cases with right atrial myxomas, were underwent surgical trearment in our hospital, there were 16 cases of male, and 20 cases of female, the average age was （ 34 ± 4. 6） years old, course of disease was 1-96 months. All patients were undertaken surgical treatment of removing myxomas under cardiac pulmonary bypass （CPB）. Results ： There was no mortality or severe morbidities in the period of in-patient. The averagr ICU stay： （ 1.3 ± 0. 2 ）days, the average in-charging time： （12 ± 1.5 ） days. Follow-up ：32 patients were follow-up for a mean du- ration of 37 months with the period of 1-3 years, the average follow-up time：37 months, the follow-up time in to- tal ：512 months, the rate of follow-up in total ：88.9%. There were no late deaths and the patients quality of life was improved significantly, heart function in NYHA is class I. Conclusion： Cardiac myxomas resection is a kind of effective and safety surgical trentment for heart myxomas, Its recrudescence rate is very low.