摘要
目的:提高对原发性心脏肿瘤的外科治疗技术。方法:对1980年8月～1999年6月治疗的24例原发性心脏肿瘤病例的临床资料进行分析。全组男8例,女16例,年龄6～69岁(403±158岁)。其中20例为粘液瘤(左房17例,右房3例),肉瘤2例(平滑肌肉瘤1例,纤维肉瘤1例),血管肉瘤1例,恶性间皮瘤1例。21例于中低温体外循环下心内直视手术,其中8例未行升主动脉阻断。结果:1例于术前死亡。1例围术期死于低心排,手术病死率43%。随访2月～8年。良性肿瘤无远期死亡和复发,3例恶性肿瘤分别于术后6月内死亡。结论:一旦诊断确立应尽早手术治疗。右房经房间隔切口是最适入路。为改善预后、减少复发,肿瘤蒂应作全层、广泛切除。
Objective: To improve the technique of surgical treatment for primary heart tumor. Methods: Clinical data of treatment for primary heart tumor in 24 patients (8 males, 16 females), hospitalized from Aug. 1980 to Jun. 1999, aged from 6 to 69 years(mean age was 40 3±15.8 years) were analysed. Among them, 20 were myxoma (17 cases in left atria, 3 cases in right atria), 2 were sarcomas, 1 was mesothelioma, 1 was angioma. Twenty one cases were operated under the moderate hypothermia cardiopulmonary bypass, 8 of them without cross-clamped ascending aorta. Results: One case died before operation and another one died in perioperative period for low cardiac output syndrome. Postoperation follow-up was lasted for 2 months to 8 years. The benign neoplasms were of no death and recurrence. Three cases with malignant tumor died in 6 months. Conclusions: Once the diagnosis is made, early surgical treatment should be carried out as soon as possible. Right atriotomy via transsepta is the best approach. Excision with full thick and extensiveness can reduce and improve the prognosis. For all malignant tumors, the surgical goals aim at improving hemodynamics.
出处
《宁夏医学院学报》
2000年第1期6-8,共3页
Journal of Ningxia Medical College
关键词
心脏肿瘤
原发性
外科手术
primary hrart tumor
diagnosis
surgical treatment
