摘要
目的:总结原发性心脏肿瘤外科治疗的疗效,探讨原发性心脏肿瘤的临床诊断和手术治疗经验。方法:回顾性分析2000年1月—2009年12月接受手术治疗的138例原发性心脏肿瘤患者的临床资料,依据病理类型分成3组:(1)黏液瘤组126例;(2)非黏液瘤良性肿瘤组7例;(3)恶性肿瘤组5例。术后共随访120例,随访率为87%。结果:黏液瘤组手术死亡率为1.6%(2/126);共随访108例患者,随访时间为5个月～10年,复发率为5.6%(6/108),远期死亡率为2.8%(3/108)。非黏液瘤良性肿瘤组患者均获得随访,随访时间为5个月～10年,无手术和远期死亡。恶性肿瘤组患者因手术死亡2例,剩余3例分别于术后6、11和22个月死于肿瘤复发。结论:手术切除是治疗原发性心脏肿瘤的首选方法,手术治疗效果取决于心脏肿瘤的病理类型,同时强调早期诊断和积极外科治疗的重要性。
Objective:To summarize the curative effects of surgery on primary cardiac tumors and discuss the experience in the clinical diagnosis and surgical treatment of primary cardiac tumors.Methods:From Jan 2000 to Dec 2009,138 patients with primary cardiac tumors received surgery in our hospital.Based on the pathological examination the patients were divided into three groups: myxomas group(n=126),benign nonmyxomas group(n=7),and malignant tumor group(n=5).One hundred and twenty patients(8.7%) were followed up.Results:The hospital mortality rate was 1.6%(2/126) in myxomas group.Totally 108 patients with myxomas were followed up for 5 months to 10 years.The recurrent rate was 5.6%(6/108).The long-term death rate was 2.8%(3/108).All the 7 patients with benign nonmyxomas were followed up for 5 months to 10 years.No postoperative or long-term death was observed.Two patients died in malignant tumor group,and the other 3 patients died of tumor recurrence at 6,11,and 22 months after surgery,respectively.Conclusion:Surgical resection is the first choice in the treatment of primary cardiac tumors.The clinical outcomes are closely related to the pathological classification of cardiac tumors.Early diagnosis and aggressive surgical therapy are important.
出处
《肿瘤》
CAS
CSCD
北大核心
2010年第11期965-968,共4页
Tumor
关键词
心脏肿瘤
诊断
心脏外科手术
Heart neoplasms
Diagnosis
Cardiac surgical procedures
