目的总结原发性心脏肿瘤的临床特点及外科手术治疗的经验。方法回顾性分析1985年1月至2007年5月我院收治的79例原发性心脏肿瘤患者的临床表现及外科治疗效果,其中男31例,女48例,年龄17～77岁,平均(46±15)岁。按病理类型分为良性黏液瘤组(66例)、良性非黏液性肿瘤组(5例)和恶性肿瘤组(8例),通过超声心动图等检查了解肿瘤情况,通过低温体外循环心脏停跳下手术切除。术后对生存者进行随访,随访时间0.5～14年,平均(7.6±5.2)年。结果围术期死亡1例,随访期间死亡2例,总死亡率为3.8%。随访期间复发3例,复发间隔1.25～5年,总复发率为3.8%。术后心功能均得到改善。恶性肿瘤死亡率高于良性肿瘤,但两者复发率和心功能状况无显著性差异。右心肿瘤死亡率高于左心肿瘤,但两者复发率和心功能状况无显著性差异。结论原发性心脏肿瘤临床表现复杂,手术切除肿瘤是首选治疗方法,其预后取决于肿瘤的病理类型、生长特点及发病部位。 Objective To summarize the clinical features of primary cardiac tumors and the experience of surgical treatment. Methods The clinical manifestations and surgical treatment of 79 patients with primary cardiac tumors admitted to our hospital from January 1985 to May 2007 were retrospectively analyzed. There were 31 males and 48 females with a mean age of 17 to 77 years 46 ± 15) years old. According to the pathological types, the patients were divided into benign myxoma group (66 cases), benign non-mucinous tumor group (5 case) and malignant tumor group (8 case). The echocardiography was used to investigate the tumor situation, and hypothermic cardiopulmonary bypass Surgical removal. Postoperative survival of patients were followed up for 0.5 to 14 years, an average of (7.6 ± 5.2) years. Results Perioperative death in 1 case, 2 patients died during follow-up, the overall mortality rate was 3.8%. During the follow-up period, 3 cases relapsed. The recurrence interval was 1.25-25 years and the total recurrence rate was 3.8%. After the heart function has been improved. Mortality of malignant tumors than benign tumors, but the recurrence rate and cardiac function between the two groups no significant difference. Right heart tumor mortality rate higher than left heart tumor, but the recurrence rate and cardiac function between the two no significant difference. Conclusions The clinical manifestations of primary cardiac tumors are complex. Surgical resection of the tumor is the preferred method of treatment. The prognosis depends on the pathological type, growth characteristics and location of the tumor.