心脏黏液瘤31例临床特征与手术治疗分析  

Clinical characteristics and surgical treatment of 31 cases of cardiac myxomas

作　　者：李令珂[1] 刘迎龙[2] 张红超[1] 陈元恒[1] 侯迈[1] 徐金星[1] 

机构地区：[1]解放军空军总医院心血管外科,北京100142 [2]首都医科大学附属北京安贞医院心外科,北京100029

出　　处：《临床军医杂志》2013年第12期1250-1252,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨心脏黏液瘤的临床特征和手术治疗方法。方法31例心脏黏液瘤患者，在低温体外循环下进行黏液瘤切除术。结果术后死亡1例，其余患者术后恢复好，临床症状消失，心功能恢复至I级。随访6个月～10年，未见肿瘤复发和远处种植转移。结论超声心动图是诊断心脏黏液瘤的有效方法；手术切除是心脏黏液瘤首选的治疗方法，一经确诊应尽快手术。Objective To review the experience in the diagnosis and the surgical treatment of cardiac myxoma. Methods A total of 31 patients underwent open heart surgery under cardiopulmonary bypass for cardiac myxoma. Results One patient died postoper- atively because of severe low output syndrome. The others did not show any signs of recurrence or metastasis during the follow-up of 6 months to 10 years after operation. Conclusion The echocardiography is particular and predominant for diagnosis. Surgical treatment may be optimal to manage cardiac myxoma. It is suggested that the patients should accept surgical treatment as soon as possible once the diagnosis is confirmed.

关 键 词：心脏肿瘤 心脏黏液瘤 心脏手术 超声心动图 

分 类 号：R732.1[医药卫生—肿瘤]