摘要
目的总结原发性心脏肿瘤的临床特征及治疗结果。方法回顾性分析275例原发性心脏肿瘤患者的临床资料。275例中良性肿瘤251例(91.27%,其中左房黏液瘤237例),恶性肿瘤24例(8.72%)。主要临床表现为心悸、气短,共245例,占89.09%。272例行手术治疗,其中完整切除258例,局部切除6例,8例因肿瘤无法切除仅行活检术。7例实性瘤体患者同期行二尖瓣置换术,2例同期行肺动脉瓣置换术,5例同期行经股动脉取瘤栓术。结果术前死亡2例,术中死亡3例。术后随访230例(83.63%),时间6个月～31年,死亡35例,其中良性肿瘤15例,恶性肿瘤20例,4例复发(良性1例、恶性3例),其余均恢复良好。结论原发性心脏肿瘤中左房黏液瘤最为常见,主要临床表现为心悸、气短。一经确诊应尽早手术,良性肿瘤手术效果好,恶性肿瘤预后差。
Objective To summarize the clinical characterizations and outcome of surgical treatment of primary cardiac tumor. Methods The clinical data of eardiac tumors were analyzed retrospectively in 275 patients, there were 251 benign tumors （91.27%）, of which 237 were left atrial myxomas （86.18%） and 24 patients with malignant tumors （ 8.72% ）. Palpitation and dyspnea on exertion added up to 89.09% of all clinical symptoms. 258 patients underwent completely removal of the tumors, remaining 6 patients had partial removal, 8 patients received biopsy only. Other procedures had done in the same stage including 7 cases with mitral valve replacement, 2 case with pulmonary arterial valve replacement, 5 cases with thrombectomy through the Fogarty catheter. Results 2 cases died preoperation, 3 cases died intraoperation. 230 cases were followed up for 6 months to 31 years, of which 35 cases died and 4 cases recurred. Conclusions Left atrial myxomas are most commonly seen in patients with primary cardiac tumor. Palpitation and dyspnea on exertion are the most frequent symptoms. It is suggested that the patients should accept surgical treatment as soon as possible once the diagnosis is confirmed . Surgical treatment is effective for the benign cardiac tumors. Prognosis is poor in patients with malignant cardiac tumors.
出处
《中国肿瘤外科杂志》
CAS
2012年第5期259-261,共3页
Chinese Journal of Surgical Oncology
关键词
原发性心脏肿瘤
心脏外科手术
诊断
治疗
primary cardiac tumor
cardiac surgical procedures
diagnosis
treatment
