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目的探讨心脏黏液瘤及其他原发肿瘤的外科手术治疗的特点。方法回顾性分析自1984年1月至2004年12月手术治疗的95例原发性心脏肿瘤患者的病例资料和随访结果。结果所有患者术前均经彩超明确诊断。94例在体外循环下切除肿瘤,89例痊愈出院,5例死亡。经病理证实黏液瘤83例,其他肿瘤11例。共获随访68例(黏液瘤63例),1例黏液瘤患者术后14个月复发;与心脏有关后期死亡4例。结论原发性心脏肿瘤多为黏液瘤,一旦明确诊断,应急诊手术;恰当的手术技巧是手术治疗成功的关键。
Objective To investigate the characteristics of surgical treatment of cardiac myxoma and other primary tumors. Methods The clinical data and follow-up results of 95 patients with primary cardiac tumors surgically treated from January 1984 to December 2004 were retrospectively analyzed. Results All patients were diagnosed by color Doppler ultrasound before operation. 94 cases of tumor removal under cardiopulmonary bypass, 89 patients were discharged and 5 patients died. Pathologically confirmed 83 cases of myxoma, 11 cases of other tumors. A total of 68 cases were followed up (63 cases of myxoma). One case of myxoma recurred 14 months after operation and 4 cases died of heart-related death. Conclusions Primary cardiac tumors are mostly myxomas. Once a definite diagnosis is made, emergency surgery should be performed. Appropriate surgical techniques are the key to successful surgical treatment.