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目的 总结原发心脏肿瘤外科治疗的近期及远期效果。方法 回顾 1984年 7月至 2 0 0 0年 12月 147例原发心脏肿瘤病人 ,按病理分为 3组 :粘液瘤 139例 ,男 5 8例 ,女 81例 ,年龄 5～ 72岁 ;非粘液瘤良性肿瘤 4例 ,男、女各 2例 ,年龄 15～ 42岁 ;恶性肿瘤 4例 ,男 1例 ,女 3例 ,年龄 2 3～ 6 2岁。手术后共随访 132例 ,随访率 92 .3%。结果 粘液瘤组 12 5例随访 3个月～ 17年 ,手术死亡率 2 2 %(3 139) ,远期死亡率 4 0 % (5 12 5 ) ,复发 5例 ,其中 4例为起源于左房房间隔以外的粘液瘤。非粘液瘤良性肿瘤病人均随访 ,7个月～ 8年 ,无手术和远期死亡。恶性肿瘤病人手术死亡 1例 ,余 3例分别于术后4、5、30个月死于肿瘤复发。结论 原发心脏肿瘤手术治疗的近远期效果取决于心脏肿瘤的病理类型 ,术后应重视复查。
Objective To summarize the short-term and long-term effects of surgical treatment of primary cardiac tumors. Methods From July 1984 to December 2000, 147 patients with primary cardiac tumors were divided into three groups according to the pathology: 139 cases of myxoma, 58 males and 81 females, aged from 5 to 72 years; Myxoma benign tumors in 4 cases, 2 males and 2 females, aged 15 to 42 years; 4 cases of malignant tumors, 1 males and 3 females, aged 2 3 to 6 2 years old. A total of 132 cases were followed up after surgery, the follow-up rate was 92.3%. Results 125 cases of myxoma were followed up for 3 months to 17 years. The operative mortality rate was 22% (3 139), the long-term mortality rate was 40% (5 12 5) and 5 cases were recurrence. Among them, 4 cases were originated from the left Atrial myxoma outside the septum. Non-myxoma benign tumor patients were followed up for 7 months to 8 years, no surgery and long-term death. One case of malignant tumor patients died of surgery, the remaining three cases died of tumor recurrence 4,5,30 months after surgery. Conclusion The short-term and long-term effect of surgical treatment of primary cardiac tumors depends on the pathological type of cardiac tumors, and should be reviewed after operation.