摘要
自1981年11月至1992年6月共手术治疗心腔粘液瘤27例;其中左房瘤25例,右房、右室瘤各1例。手术死亡1例。随访8个月至10年,无晚期死亡或并发症。我们认为:(1)本病潜在危险大,决定手术时不应过分拘泥于常规禁忌;(2)应用保守的小部分房间隔切除术,远期效果一样良好;(3)术中重视对受累瓣膜的检查和处理,有利于提高疗效。
From Nov, 1981 to June, 1992, 25 cases of intracardiac myxoma were admitted to our hospital.The tumor was located in the left atrium in 24 cases and in the right atrium in one.The intracardiac tumors were surgical excised in 21 patients with one early mortality. There was no late death or other complications during a follow-up of 8 ̄120 months.The authors emphasized that the presence of a intracardiac myxoma is an absolute indication for surgical excision.The excellent follow-up results show that the excision of the tumor pedicle together with a small portion of atrial septum is radical enough.A further important consideration is the detection and treatment of valvular involvement by the myxoma at operation.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1994年第1期23-24,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery