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目的:研究原发性心脏肿瘤的诊断及外科治疗方法。方法:以超声心动图和多普勒了解肿瘤位置和瓣膜功能情况。非粘液性和恶性肿瘤需施行CT和(或)MRI检查,了解肿瘤和毗邻心脏结构关系,探讨右心房、左心房、左右双心房、左心室切口的优缺点。结果:本组肿瘤全切除104例,部分切除2例,活俭1例。住院期死亡3例,死亡率28%。结论:原发性良性肿瘤早期彻底切除防止复发,恶性肿瘤根据病情切除或部分切除,随访中良性肿瘤无复发,晚期死亡3例。其中恶性2例,1例良性死于其它恶性肿瘤广泛转移。
Objective: To study the diagnosis and surgical treatment of primary cardiac tumors. Methods: Echocardiography and Doppler were used to understand tumor position and valve function. Non-mucinous and malignant tumors should be subjected to CT and (or) MRI examination to understand the relationship between the tumor and the adjacent heart structure, and to explore the advantages and disadvantages of the right atrium, left atrium, left and right atrium, and left ventricular incision. Results: In this group, there were 104 cases of total tumor resection, 2 cases of partial resection, and 1 case of living deafness. There were 3 deaths in hospital and 28% mortality. Conclusion: Early resection of primary benign tumors prevented recurrence. Malignant tumors were removed or partially resected according to the condition. During follow-up, benign tumors did not recur and 3 cases died late. There were 2 cases of malignancy, and 1 case of benign death was due to extensive metastasis of other malignant tumors.