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提高心腔粘液瘤手术疗效的临床探讨

10 Years Follow-up of Surgical Excision of Intracardiac Myxomas

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【作者】 毛志福高尚志姚震林道明涂仲凡

【Author】 Zhi-fu Mao;Shang-zhi Gao;Zhen Yao,et al.(First Affiliated Hospital of Hubei Medical College,Wuhan 430060)

【机构】 湖北医科大学附属第一医院胸心外科

【摘要】 自1981年11月至1992年6月共手术治疗心腔粘液瘤27例;其中左房瘤25例,右房、右室瘤各1例。手术死亡1例。随访8个月至10年,无晚期死亡或并发症。我们认为:(1)本病潜在危险大,决定手术时不应过分拘泥于常规禁忌;(2)应用保守的小部分房间隔切除术,远期效果一样良好;(3)术中重视对受累瓣膜的检查和处理,有利于提高疗效。

【Abstract】 From Nov, 1981 to June, 1992, 25 cases of intracardiac myxoma were admitted to our hospital.The tumor was located in the left atrium in 24 cases and in the right atrium in one.The intracardiac tumors were surgical excised in 21 patients with one early mortality. There was no late death or other complications during a follow-up of 8 ̄120 months.The authors emphasized that the presence of a intracardiac myxoma is an absolute indication for surgical excision.The excellent follow-up results show that the excision of the tumor pedicle together with a small portion of atrial septum is radical enough.A further important consideration is the detection and treatment of valvular involvement by the myxoma at operation.

【关键词】 心腔粘液瘤
【Key words】 Intracardiac myxomaFollow-up results
  • 【文献出处】 中华胸心血管外科杂志 ,CHINESE JOURNAL OF THORACIC AND CARDIOVAESCULAR SURGERY , 编辑部邮箱 ,1994年01期
  • 【分类号】R732.105
  • 【被引频次】12
  • 【下载频次】12
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