心脏黏液瘤的诊疗新进展  

New Progress in Diagnosis and Treatment of Cardiac Myxoma

作　　者：张超[1] 史聪聪 滕飞 卓琳 徐洋 郭光伟[1] ZHANG Chao;SHI Congcong;TENG Fei;ZHUO Lin;XU Yang;GUO Guangwei(Department of Thoracic Surgery,the Second Hospital of Shanxi Medical University,Taiyuan 030000,China)

机构地区：[1]山西医科大学第二医院心胸外科,太原030000

出　　处：《医学综述》2020年第22期4430-4433,4439,共5页Medical Recapitulate

摘　　要：心脏黏液瘤是良性原发性心脏肿瘤中最常见的类型,临床表现复杂多变,特异性较差。目前,尚无关于心脏黏液瘤的临床诊疗指南,治疗主要以手术为主,手术前需要对肿瘤的位置、质地以及周围组织与血管的关系进行判断。临床主要依靠X线、超声心动图、CT、磁共振成像等影像学检查提高心脏黏液瘤诊断的准确率。然而,目前快速、准确地诊断心脏黏液瘤尚存在一定的局限性,一定程度上限制了诊疗方案的确定。由于心脏黏液瘤的临床发病率较低,临床相关报道也多为病例分析,因此了解心脏黏液瘤的病理特点及诊疗方法可为临床提供帮助。Cardiac myxoma is the most common type of benign primary heart tumors,with various clinical manifestations and poor specificity.Currently,there are no clinical guidelines for the diagnosis and treatment of cardiac myxoma.Treatment is mainly based on surgery.Before surgery,the position,texture,the relationship between surrounding tissues and blood vessels of the tumor should be judged.The accuracy of clinical diagnosis of cardiac myxoma is improved by X-ray,echocardiography,CT,magnetic resonance imaging and other imaging examinations.However,the rapid and accurate diagnosis of cardiac myxoma still has some limitations,which limits the determination of diagnosis and treatment scheme to some extent.Due to the low clinical incidence of cardiac myxoma,the related reports are mostly case analysis,therefore,understanding the pathological characteristics and diagnosis and treatment of cardiac myxoma can provide help for the clinical practice.

关 键 词：心脏黏液瘤 病理 影像学 预后 

分 类 号：R732.1[医药卫生—肿瘤]