左房粘液瘤的外科治疗51例报道  

Surgical Treatment of Left Atrial Myxoma

作　　者：陈磊[1] 张昌来[2] 宋惠民[2] 

机构地区：[1]章丘市人民医院心外科,山东章丘250200 [2]山东大学齐鲁医院心外科,山东济南250012

出　　处：《昆明医学院学报》2008年第6期137-139,共3页Journal of Kunming Medical College

摘　　要：目的探讨左房粘液瘤的诊治及疗效.方法51例左房粘液瘤,在体外循环下行粘液瘤摘除,2例同时行三尖瓣成形.结果死亡2例,死亡率3.9%;术后并发血管拴塞4例,出现中度二尖瓣关闭不全1例,2 a后原位复发1例.结论左房粘液瘤一经确诊应立即手术.超声心动图是左房粘液瘤简单、可靠的诊断方法.Objective To explore the diagnosis Methods 51 cases of left atrial myxoma were treated and the effect of surgical treatment of left atrial myxoma. surgically. All patients underwent excision of myxoma under cardiopulmonary bypass. Tricupid valve valvuloplasty was performed in 2 patients. Results The hospital mortality was 3.9% （2/51）. Postoprative complications were seen in 5 cases （4 arfery embolism, 1 mitral incompetence）. There was one postoperative recurrence after two years. Conclusions Once the diagnosis of left atrial myxoma is established, it is best to operate as soon as possible. Surgical resection is the only effective therapeutic option. Echocardiography is the simplest and the most convenient method to confirm the diagnosis.

关 键 词：左房粘液瘤 体外循环 外科手术 超声心动图 

分 类 号：R654.1[医药卫生—外科学]