摘要
目的 :探讨原发性心脏恶性肿瘤的诊断与外科治疗经验。 方法 :1980年 1月至 2 0 0 2年 10月间 ,9例原发性心脏恶性肿瘤患者接受外科治疗。主要症状有心慌、气短、下肢水肿、腹胀、头面部肿胀等 ,术前行彩色多普勒超声心动图检查 ,均显示不同心腔内有肿块。 5例在体外循环下切除肿瘤 ,2例肿瘤侵及上腔和右心房并广泛浸润 ,导致上腔静脉梗阻 ,仅行无名静脉与肺动脉人造血管架桥术 ,2例因肿瘤广泛转移仅做心包引流和病理活检。 结果 :术后早期 8例生存 ,1例因急性肝、肾功能衰竭死亡。随访 2～ 12个月 ,1例完整切除肿瘤患者 ,在术后 6个月出现全身骨转移 ,后因呼吸道出血死亡 ;2例无名静脉与肺动脉架桥术及 2例因肿瘤广泛转移仅做心包引流患者 ,其中 3例术后接受局部放疗 ,但均在术后 1年内死亡。另外 3例术后 2个月、 6个月和 9个月随访时情况良好 ,复查彩色多普勒超声心动图检查无肿瘤复发。 结论 :早期及时准确诊断、及时手术、尽可能完整切除肿瘤和术后加强监护等围手术期处理可延长生存期。
Objective: To review the experience in the diagnosis and surgical management of primary cardiac malignant tumors. Methods:Nine patients with primary cardiac malignant tumors were treated surgically from Jan.1980 to Oct.2002. Determination of primary cardiac malignant tumors was accomplished in all patients by echocardiography. Radical resection of the tumor was performed in 5 cases.The other patients accepted biopsy (n=2) or the palliative operations(n=2). Results: Eight patiants survived the operation. One patient died of hepatic and renal failure postoperatively with a mortality of 11% (1/9). Complete follow-up was available for all surviver.Mean follow-up was 6 months (range,2 to 12 months ).Five patients died of malignant tumor recurrence or metastasis within 1 year after operation. Three patients are still alive. Conclusion: Earlier diagnosis, early operation and palliative operation may prolong life of patients with primary cardiac malignant tumor.
出处
《中国循环杂志》
CSCD
北大核心
2003年第4期300-302,共3页
Chinese Circulation Journal
