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目的 :总结右心黏液瘤的诊断和治疗经验。方法 :回顾性分析 1995年 10月 - 2 0 0 1年 10月收治的 2 4例右心黏液瘤病例 (其中右心房黏液瘤 19例 ,右心室黏液瘤 5例 )。术前均经心脏彩色超声心动图确诊 ,均在体外循环下行黏液瘤摘除术 ,同期行三尖瓣成形术 19例 ,三尖瓣机械瓣置换术 1例 ,房间隔缺损修补术 3例。结果 :无围术期及手术死亡 ,随访 2 0例 ,时间 1个月～ 6年 ,心功能 (NYHA分级 ) :Ⅰ级 11例 ,Ⅱ级 5例 ,Ⅲ级 2例。 1例死于非心脏方面的疾病 ,1例复发再次手术 ,复发率 5 % ,效果良好。结论 :右心黏液瘤一经确诊应尽快手术 ,手术效果满意 ,复发率低 ,心脏彩色超声心动图对诊断及术后随访有重要作用 ,应重视术后随访
Objective: To summarize the experience of diagnosis and treatment of right heart myxoma. Methods: Twenty-four cases of right-sided myxoma (including 19 right atrial myxoma and 5 right-sided myxoma) were retrospectively analyzed from October 1995 to October 2001. All patients underwent cardiac echocardiography before operation. All underwent extracorporeal myxoma removal. Tricuspid plasty was performed in 19 cases, tricuspid valve replacement in 1 case, and atrial septal defect repair in 3 cases. Results: There were no perioperative and operative deaths. Twenty patients were followed up from 1 month to 6 years. NYHA class: 11 cases were grade Ⅰ, 5 cases were Ⅱ and 2 cases were Ⅲ. One patient died of noncardiac disease, one had recurrent and recurrent surgery with a recurrence rate of 5%. The effect was good. Conclusion: Right heart myxoma should be operated as soon as it is diagnosed. The operation results are satisfactory and the recurrence rate is low. Cardiac echocardiography plays an important role in the diagnosis and follow-up, and should pay attention to follow-up