心脏原发非粘液性肿瘤的外科治疗  

Surgical treatment of primary non－ myxomous tumours in the heart

作　　者：吴观生[1] 罗先达[1] 甄运寰[1] 张舰[1] 糜丽梅[1] 

机构地区：[1]贵阳医学院附属医院胸心外科,贵州贵阳550004

出　　处：《罕少疾病杂志》2001年第1期8-10,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨心脏原发非粘液性肿瘤的临床病理特征和外科治疗方法。方法对 21例经手术和病理证实的心脏原发性肿瘤中的 4例非粘液性肿瘤的资料进行分析。结果 4例均经超声心动图检查发现心脏肿瘤，病理检查确诊为脂肪瘤、横纹肌肉瘤、畸胎瘤和恶性间皮瘤，完整切除和姑息性切除各 2例，围术期死亡 1例， 3例经 6个月～ 9个月随访情况良好。结论超声心动图检查和手术是心脏非粘液性肿瘤首选的诊治方法，其最后诊断有赖于病理诊断，手术治疗效果尚满意。Objective To study the pathological characteristics and surgical treatment of primary cardiac nonmyxomous tumours. Methods The data of 4 cases(lipoma,malignant rhabdomyoma,teratoma and malignant mesothelioma)underwent operation and verified by pathological examination among 21 cases of primary cardiac tumour were analyzed. Results The tumours were resected completely and palliatively in 2 cases respectively.The patient suffered cardiac lipoma died post－ operation because of low output syndrom and the other 3 survived patients recovered.The conditions of the survived patients were satisfactory after 6 to 8 months follow－ up. Conclusion Echocardiography is a valuable method to discover the cardiac tumour,Diagnosis of non－ myxomous tumours must be confirmed by pathological examination.Surgical treatment may be a chief procedure for non－ myxomous tumours in heart and the operative results are satisfactory.

关 键 词：心脏肿瘤 非粘液性肿瘤 外科治疗 临床特征 罕见肿瘤 

分 类 号：R732.1[医药卫生—肿瘤]