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我院从1981年3月~1994年10月手术治疗左房粘液瘤36例,无1例手术死亡。本组病例年龄从13~62岁,摘除左房粘液瘤最大164cm3,最重120g。术后3个月~11年,超声心动图检查无1例复发。作者认为:二维超声心动图检查是诊断左房粘液瘤的最简单、可信的诊断方法。一经确诊应尽早手术治疗。房间隔组织切除范围要够大,人工心肺机动脉路上装微栓滤器清除血液中的微小瘤栓,以防复发。
In our hospital, from March 1981 to October 1994, 36 cases of left atrial myxoma were treated surgically and none of them died of surgery. This group of patients aged from 13 to 62 years old, removal of left atrial myxoma maximum 164cm3, the most important 120g. From 3 months to 11 years after surgery, there was no recurrence in echocardiography. The authors believe that two-dimensional echocardiography is the simplest and most reliable diagnostic method for diagnosing left atrial myxoma. Once diagnosed, it should be treated as soon as possible. The resection range of the atrial septum should be large enough. The artificial heart-lung machine should be equipped with a micro-plug filter on the artery to remove the tiny tumor plug in the blood to prevent recurrence.