论文部分内容阅读
目的探讨外科手术治疗小儿原发性心脏肿瘤的近远期疗效。方法选取2011年7月至2013年7月间新疆医科大学第一附属医院收治的23例小儿原发性心脏肿瘤临床资料,患儿均接受外科手术治疗,观察近远期临床效果。结果全部患儿均顺利完成手术,平均住院时间为(6.12±1.23)d,期间未见心律失常、心包积液等症状。出院前经心脏超声检查见4例患儿右心处有较小残留肿块,但行心功能彩超检查指标正常。出院后20例(87.0%)患儿接受了1~3年的随访,3例由个人原因失访。随访患儿定期来院复查,残余肿块消失,无1例复发或出现远处种植转移。结论外科手术治疗小儿原发性心脏肿瘤,针对不同的肿瘤性质及位置制定不同的治疗原则,可获得更好的临床效果,避免对心功能造成破坏。
Objective To investigate the short-term and long-term efficacy of surgical treatment of pediatric primary cardiac tumors. Methods From July 2011 to July 2013, 23 cases of primary cardiac tumors in children admitted to the First Affiliated Hospital of Xinjiang Medical University were enrolled. All the children underwent surgical treatment and the clinical effects were observed in the short and long term. Results All children were successfully completed surgery, the average length of stay was (6.12 ± 1.23) d, during which no arrhythmia, pericardial effusion and other symptoms. Before discharge from the hospital, four patients had a small residual mass in the right heart at cardiac ultrasound examination, but their cardiac function was normal. Twenty patients (87.0%) discharged after follow-up for 1-3 years and 3 patients were lost for personal reasons. Children were followed up regularly to hospital for examination, residual tumor disappeared, no recurrence of 1 case or distant metastasis. Conclusion Surgical treatment of primary cardiac tumors in children, according to the different nature of the tumor and the location of different treatment principles, to obtain better clinical results, to avoid damage to cardiac function.