儿童心脏纤维瘤的外科切除术治疗经验  

Surgical experience of pediatric cardiac fibromas

作　　者：张文 蒋琪 胡仁杰 董卫 朱宏斌 仇黎生 张海波[1] Zhang Wen;Jiang Qi;Hu Renjie;Dong Wei;Zhu Hongbin;Qiu Lisheng;Zhang Haibo(Department of Cardiothoracic Surgery,Shanghai Children’s Medical Center,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心心胸外科,上海200127

出　　处：《中华胸心血管外科杂志》2022年第10期596-598,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：上海申康医院发展中心临床科技创新项目(SHDC12018128);上海市科学技术委员会科研计划项目(19411950200);浦东新区卫生和计划生育委员会学科建设项目(pwzxq2017-14)。

摘　　要：目的总结单中心儿童心脏纤维瘤的外科手术切除经验及近期随访结果。方法回顾性分析2018年1月至2021年10月期间上海儿童医学中心收治的10例行心脏纤维瘤手术切除术患儿的临床资料。其中7例心脏纤维瘤位于左心室,3例位于右心室。肿瘤最大径(5.6±2.0)cm。结果中位手术年龄3.1岁(5个月至9岁)。9例心脏纤维瘤完整切除,1例部分切除。1例巨大左心室纤维瘤患儿体外循环停机后频发室颤,予以体外膜肺氧合辅助3天后成功撤除。全组患儿无早期死亡。术后随访1个月至3年,中位随访6个月。随访期间所有患儿均无肿瘤复发,无室性心律失常复发。结论儿童心脏纤维瘤通常可以行手术切除,术后心功能不全及室性心律失常可以得到缓解,疗效满意。Objective To summarize single-center experience and short-term outcomes of surgical treatment of pediatric cardiac fibromas.Methods There was a retrospective study of 10 patients who underwent surgical treatment of cardiac fibromas between January 2018 and October 2021.Fibromas were located in the left ventricle in 7 cases,and in the right ventricle in 3 cases.Mean tumor diameter was(5.6±2.0)cm.Results Median age at surgery was 3.1 years old(5 months-9 years old).Nine patients received complete resection,and the other one received partial resection.One patient with giant left ventricular fibroma required extracorporeal membrane oxygenation support for ventricular fibrillation after weaning from cardiopulmonary bypass,and was successfully weaned on the third postoperative day.There was no early mortality.Median follow-up time was 6 months(1 month-3 years).No tumor recurrence nor ventricular arrhythmia was documented during the follow-up period.Conclusion Pediatric cardiac fibromas can be usually treated by complete resection,with relief of cardiac dysfunction and ventricular arrythmia after surgery,and with satisfactory results.

关 键 词：儿童心脏肿瘤 心脏纤维瘤 外科治疗 

分 类 号：R732.1[医药卫生—肿瘤]