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目的总结18例心脏粘液瘤的诊断和手术治疗经验。方法回顾性分析行外科手术治疗的18例心脏粘液瘤患者的临床资料,着重分析术前诊断,手术方法及随访结果。结果 18例患者均为超声心动图确诊,均行手术治疗,术后无死亡,手术成功率100%(18/18)。18例术后随访3个月～6年,未见瘤体复发和远处种植转移,心功能恢复到NYHA心功能I级～Ⅱ级。结论心脏粘液瘤外科手术治疗的预后好,术前超声心动图检查可明确诊断;完整的切除肿瘤组织并包括足够的边缘组织是预防复发的关键。
Objective To summarize the diagnosis and surgical treatment experience of 18 cases of cardiac myxoma. Methods The clinical data of 18 patients with cardiac myxoma treated by surgical operation were retrospectively analyzed. The preoperative diagnosis, surgical methods and follow-up results were analyzed. Results Eighteen patients were confirmed by echocardiography. All patients underwent surgery. No death occurred after operation. The success rate of operation was 100% (18/18). Eighteen patients were followed up for 3 months to 6 years. No tumor recurrence and distant metastasis were found. The cardiac function recovered to NYHA class Ⅰ ~ Ⅱ. Conclusions The prognosis of surgical treatment of cardiac myxoma is good. Preoperative echocardiography can confirm the diagnosis. Complete resection of the tumor tissue and the inclusion of adequate marginal tissue are the keys to prevent recurrence.