外科手术治疗小儿原发性心脏肿瘤的效果观察

Efficacy of surgical intervention in children with primary cardiac tumors

目的探讨外科手术治疗小儿原发性心脏肿瘤的近远期疗效。方法选取2011年7月至2013年7月间新疆医科大学第一附属医院收治的23例小儿原发性心脏肿瘤临床资料,患儿均接受外科手术治疗,观察近远期临床效果。结果全部患儿均顺利完成手术,平均住院时间为(6.12±1.23)d,期间未见心律失常、心包积液等症状。出院前经心脏超声检查见4例患儿右心处有较小残留肿块,但行心功能彩超检查指标正常。出院后20例(87.0%)患儿接受了1~3年的随访,3例由个人原因失访。随访患儿定期来院复查,残余肿块消失,无1例复发或出现远处种植转移。结论外科手术治疗小儿原发性心脏肿瘤,针对不同的肿瘤性质及位置制定不同的治疗原则,可获得更好的临床效果,避免对心功能造成破坏。

Objective To explore and analyze the short and long term efficacy of surgical treatment in children with primary cardiac tumors. Methods Data of 23 children with primary cardiac tumors treated The First Affiliated Hospital of Xinjiang Medical University from July 2011 to July 2013 were selected. All the children underwent surgery and the short and long term efficacy was observed. Results All the children successfully completed surgery. The average hospitalization time was（ 6. 12 ± 1. 23） d when no one was found to have symptom such as arrhythmia and pericardial effusion. Before discharge,cardiac ultrasound examination showed 4 children had smaller residual tumors in the right part of the heart but was normal in colour sonography. After discharge,20 children were followed-up for 1 to 3 years and 3 children lost to followup for personal reasons. Children who were followed-up visited hospital regularly for review and all of the visible residual tumors disappeared without 1 case of recurrence or distant plant transfer. Conclusion Surgical treatment children with primary cardiac tumors targeted different nature and different position of tumors,which can realize good clinical efficacy and avoid damage to cardiac function.