心脏黏液瘤的外科治疗

    Surgical treatment of cardiac myxoma: A report of 12 cases

    • 摘要: 目的: 探讨心脏黏液瘤的诊断和外科治疗。方法: 12例心脏黏液瘤通过病史、体征、心电图、超声心动图进行诊断,在低温体外循环下进行瘤体切除。结果: 全组无手术和围术期死亡,随访0.1~6年,未见瘤体复发和远处种植转移,心功能恢复到Ⅰ级(NYHA)。结论: 超声心动图是诊断心脏黏液瘤的最有效方法,心脏黏液瘤一经确诊应尽快手术。

       

      Abstract: Objective: To investigate the diagnosis and treatment of cardiac myxomas.Methods: Twelve cases of cardiac myxoma were diagnosed by the case history,symptoms and auxiliary,examinations including electrocardiogram and echocardiography.All the tumors were removed by moderate hypothermic cardiopulmonary bypass.Results: There was no operative or peri-operative death.The patients didn't show signs of recurrence or metastasis during the follow-up of 1 month to 6 years after operation.Conclusions: Echocardiography plays an important role in the diagnosis of cardiac myxomas.Once the diagnosis is confirmed,the patients should resort to surgical treatment as soon as possible.

       

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