【摘要】 目的 探讨心脏黏液瘤的外科治疗的临床要素。方法 回顾性分析92例心脏黏液瘤患者的临床资料并复习相关文献。结果 1997年至2012年收治经手术治疗和病理证实的心脏黏液瘤患者92例,男性38例,女性54例,年龄4~67岁,病史1个月至5年;其中左房黏液瘤80例,右房黏液瘤6例,双心房黏液瘤2例,右心室黏液瘤3例,左心室黏液瘤1例。术前均由超声心动图确诊,在全麻体外循环下手术摘除黏液瘤。同期行二尖瓣成形、二尖瓣置换术各3例,三尖瓣成形6例。术前诊断率100%。所有患者均治愈出院。87例经随访,随访时间3个月至5年2个月,复发1例。结论 心脏黏液瘤是最常见的心脏肿瘤,手术治疗效果确切。把握手术时机、避免肿瘤脱落引起栓塞等并发症的发生是手术成功的重要因素。超声心动图对诊断及随访均具有重要意义。更多还原

【Abstract】 Objective To explore the the cardiac myxoma classification,diagnosis,clinical features and surgical treatment.Methods The clinical data of 92 cases of patients with cardiac myxoma were retrospective analyzed and literature were reviewed.Results 92 patients with cardiac myxoma pathologically confirmed and underwent surgical treatment from 1997-2012 were enrolled,including male 38 cases,female 54 cases,aged 4 to 67years old.History period was from 1 month to 5 years.80 cases was left atrial myxoma,six cases with right atrial myxoma,two cases with double atrial myxoma,three cases with right ventricular myxoma and left ventricular myxoma.Before surgery,cardiac myxoma were confirmed by ultrasound echocardiography,and the myxoma were removed by surgery under anesthesia cardiopulmonary bypass,concomitant mitral valve repair and mitral valve replacement underwent in three cases respectively,six cases of tricuspid;preoperative diagnosis rate was 100%.All patients were cured and discharged.87 cases followed up for 3 months to 5 years and 2 months,1 case was relapse.Conclusion Cardiac myxoma is the most common cardiac tumors,the effect of surgical treatment is exact.Timing of surgery,avoiding tumor shedding caused by the occurrence of embolism are important factors in successful operation.Echocardiography in the diagnosis and follow-up are important.更多还原