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目的:研究心脏黏液瘤的临床以及超声特点,并且对于手术经验进行一定的总结。方法:回顾性分析2010年6月~2013年5月,在我院进行手术治疗的32例原发生以及复发性心脏黏液瘤患者的临床资料。结果:在32例患者中,有28例为左房黏液瘤,4例患者为右房黏液瘤。在这32例患者中,还有一例有脑栓塞史,而大多数左房黏液瘤的患者在临床方面与二尖瓣狭窄的表现相似,而右房黏液瘤及右室黏液瘤患者都出现了不同程度的右心功能不全等症状,而手术也是在体外循环的状况下进行的。结论:心脏黏液溜中的左房黏液瘤是最为常见的,其临床表现大多为心悸、气短等症状。而心脏彩超可以准确的诊断出其是否患有心脏黏液瘤,而一旦确诊之后,要立即进行手术治疗。进行手术治疗就是为了能够保证瘤体的完整性,将瘤体以及蒂部组织同时切除。
Objective: To study the clinical and ultrasonographic characteristics of cardiac myxoma and to summarize the experience of surgery. Methods: The clinical data of 32 patients with primary and recurrent cardiac myxoma who underwent surgery in our hospital from June 2010 to May 2013 were retrospectively analyzed. RESULTS: Of the 32 patients, 28 were left atrial myxoma and 4 were right-sided myxoma. In 32 patients, there was another case of history of cerebral embolism, and most patients with left atrial myxoma performed clinically similar to mitral stenosis, whereas patients with right atrial myxoma and right ventricular myxoma appeared Varying degrees of right ventricular dysfunction and other symptoms, and surgery is also carried out in the case of cardiopulmonary bypass. Conclusion: Left atrial myxoma in the mucus of the heart is the most common, and most of the clinical manifestations are palpitation, shortness of breath and other symptoms. The color Doppler ultrasound can accurately diagnose whether it has cardiac myxoma, but once confirmed, to be immediately surgery. Surgical treatment is to ensure the integrity of the tumor, the tumor and pedicle tissue removed at the same time.