摘要
目的探讨原发性右心室肿瘤的诊断和治疗。方法回顾性分析1999年1月至2012年5月期间在长海医院手术治疗的右心室肿瘤患者临床资料。全组7例中男5例，女2例。年龄37～68岁，中位年龄48岁。术前均经超声心动图明确诊断黏液瘤2例，右心室占位性病变5例。手术全部采用胸部正中切口行完整切除或取活检，切除手术于常规体外循环心脏停跳下进行。结果全组占同期手术治疗心脏肿瘤患者的4．96％。手术完整切除肿瘤5例，取活检2例，包括黏液瘤2例，平滑肌瘤-例，脂肪瘤1例，间叶肉瘤2例，未分化肉瘤1例。全组无院内死亡，随访1—51个月（中位时间38个月），死亡3例，均为恶性肿瘤患者，余者无复发，一般状况良好。结论右心室肿瘤的恶性肿瘤比例较高，心脏超声是最重要的诊断方法，恶性肿瘤预后差，良性肿瘤手术效果良好。
Objective To discuss the diagnosis and surgical treatment of the primary right ventricular tumors. Methods The results of surgical treatment of 7 patientss （5 males, 2 females; median age, 48 years, range,37 to 68 years） with pri- mary right ventricular tumors hospitalized from Jan, 1999 to May ,2012 were analyzed. By preoperation echocardiography, cardi- ac myxoma was diagnosed in 2 cases, and cardiac space-occupying lesion was diagnosed in 5 cases. Median sternotomy were performed in all the 7 eases for biopsy or resection of tumor, when resection of tumor, extracorporeal circulation and cardiac ar- rest were performed. Results The 7 patients accounted for 4.96% of patients with cardiac tumors surgically treated in the cor- responding period. Complete resection of tumor was performed in 5 cases, and only biopsy in 2 cases. The pathological diagno- ses included myxoma in 2 cases, lipoma in 1 case, liomyoma in 1 case, undifferentiated sarcoma in 1 case, and mesenchymal sarcoma in 2 cases. There was no in-hospital death. During a follow-up of 1 - 51 months （median, 38 months） , the 3 cases of sarcoma died, and the other patients were good and showed no recurrence. Conclusion The incidence rate of primary right ventricular malignant tumor is relatively high. Eehocardiography is the most important diagnosis method. The prognosis of right ventricular malignant tumor is poor. The results of surgical treatment of right ventricular benign tumor are satisfactory.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2013年第10期585-587,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
心脏肿瘤
心室
诊断
心脏外科手术
Heart neoplasms
Heart ventricles
Diagnosis
Cardiac surgical procedures
