体外循环下原发性心脏肿瘤切除术352例临床分析  

Clinical analysis on tumorectomy under extracorporeal circulation for 352 patients with primary cardiac tumors

作　　者：李畑波 肖颖彬[1] 王学锋[1] 陈劲进[1] 王咏[1] 

机构地区：[1]第三军医大学新桥医院心血管外科,全军心血管外科研究所,重庆400037

出　　处：《局解手术学杂志》2017年第1期37-39,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的总结原发性心脏肿瘤病例的临床特点及体外循环下肿瘤切除术经验。方法回顾性分析1980年1月至2015年12月在我院接受体外循环下肿瘤切除术的原发性心脏肿瘤患者352例临床资料。352例患者均采用静脉复合麻醉,平均体外循环时为(61.7±31.4)min,完成体外循环下肿瘤切除348例,其中4例由于肿瘤侵犯范围广并累及心室壁,仅行肿瘤部分切除术。结果全组病例352例,良性肿瘤338例(96%),其中黏液瘤309例(87.8%),恶性肿瘤14例(4.0%)。围手术期死亡4例,均为恶性肿瘤。结论黏液瘤是最常见的原发性心脏肿瘤;手术是治疗心脏良性肿瘤的最佳方案,但恶性心脏肿瘤手术治疗效果差。Objective To summarise the clinical characteristics and surgical treatment experience of primary cardiac tumours treated by tumorectomy under extracnrporeal circulation. Methods The clinical data of 352 patients with primary cardiac tumors in our hospital from January 1980 to December 2015, who received surgical treatment of tumorectomy under extracorporeal circulation were retrospectively ana- lyzed. Results Among the 352 cases in all, there were 338 cases （96%） of benign tumor, including 309 cases （87.8%） of myxoma and 14 cases （4.0%） of malignant tumor. There were 4 cases of perioperative death, and all the 4 cases were malignant tumor. Conclusion Myxoma is the most common primary cardiac tumor,and the best solution for the cardiac benign tumor is surgery. However, the effect of sur- gical operation on malignant cardiac tumors was poor.

关 键 词：原发性心脏肿瘤 体外循环 心脏肿瘤切除术 黏液瘤 临床分析 

分 类 号：R732.1[医药卫生—肿瘤]