心脏粘液瘤的外科治疗  

Surgical management of heart myxoma

作　　者：王齐敏[1] 杨意堃[1] 陈道中[1] 陈良万[1] 林峰[1] 黄忠耀[1] 

机构地区：[1]福建医科大学附属协和医院心脏外科,福建福州350001

出　　处：《心血管康复医学杂志》2006年第5期488-490,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:总结心脏粘液瘤的外科治疗经验。方法:自1994年11月到2005年10月,25例心脏粘液瘤病人在低温体外循环下接受粘液瘤摘除术,其中左房粘液瘤18例,右房粘液瘤5例,右室粘液瘤1例,左室粘液瘤1例;2例同时行三尖瓣成形术,1例同时行二尖瓣成形术。结果:全组无围手术期死亡,1例72岁患者术后5 d因肺炎呼衰自动出院,24例痊愈出院;随访4月到10年,平均5.4年,无1例术后复发和远处种植转移。结论:超声心动图是诊断心脏粘液瘤的最有效方法,心脏粘液瘤手术疗效好,一经确诊应立即手术。Objective： To review the experience of surgical treatment of heart myxoma. Methods ： The 25 patients with heart myxoma were underwent excision of myxoma under hypothermic cardiopuimonary bypass. The myxoma located in left atrium in 18 patients, in right atrium in 5 patients, in right ventricle in 1 patient and left ventricle in 1 patient. Tricuspid valve plasty was performed in 2 patients, and mitral valve plasty was performed in 1 patient, Results., There was no perioperative mortality, At a median of 5, 4 years （ranged 4 months to 10 years ） after resection, there was no one recurrence or metastasis. Conclusion： Surgical resection is the only effective therapeutic option of heart myxoma. when diagnosis is made must operate as soon as possible.

关 键 词：粘液瘤 心脏肿瘤 外科手术 

分 类 号：R654.2[医药卫生—外科学]