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目的总结心脏肿瘤的发生部位、肿瘤性质、诊断和外科治疗方法。方法1979年1月至2003年6月对195例心脏肿瘤患者行手术治疗,其中良性肿瘤186例(95.38%)、恶性肿瘤9例(4.62%);完整切除肿瘤188例,大部分或部分切除肿瘤7例。结果手术死亡5例,死亡率2.56%(5/195);手术成功190例(97.44%),术后随访3个月至15年,随访率96.84%(184/190),6例粘液瘤患者于术后4个月～2年内复发,4例恶性肿瘤分别于术后5个月～2年内死亡。结论心脏肿瘤以粘液瘤多见,彻底切除肿瘤是防止心脏肿瘤复发的关键,心脏恶性肿瘤手术近远期效果差;近10年心脏肿瘤呈逐年增加的趋势。
Objective To summarize the location of the heart tumor, the nature of the tumor, the diagnosis and the surgical treatment. Methods From January 1979 to June 2003, 195 patients with cardiac tumors underwent surgical treatment, including 186 benign tumors (95.38%) and 9 malignant tumors (4.62%). The complete resection of tumors was performed in 188 patients, mostly or partially resected Tumor in 7 cases. Results 5 cases died of operation, the mortality rate was 2.56% (5/195). The operation was successful in 190 cases (97.44%), followed up for 3 months to 15 years. The follow-up rate was 96.84% (184/190) In 4 months to 2 years after the recurrence, 4 cases of malignant tumors were 5 months to 2 years after the death. Conclusions Cardiac tumors are more common in myxomas. Thorough resection of the tumor is the key to prevent recurrence of cardiac tumors. Cardiac malignancies have short-term and short-term effects. The incidence of cardiac tumors has been increasing year by year in the past 10 years.