肿瘤预防与治疗Issue(3)：148-151,4.DOI:10.3969/j.issn.1674-0904.2015.03.009
原发性心脏肿瘤的诊断与外科治疗
Diagnosis and Surgical Treatment for Primary Cardiac Tumor
刘勇 1朱水波 1殷桂林 1张晓明 1王荣平 1杜卓1
作者信息
- 1. 广州军区武汉总医院心胸外科，武汉 430070
- 折叠
摘要
Abstract
Objective: To summarize the experience of diagnosis and surgical treatment for primary cardiac tumors. Methods: Clinical data of 41 cases of primary cardiac tumor accepted in our department from Jan. 1990 to June 2014 were retrospectively analyzed. All patients accepted echocardiographic exam and 7 of them accepted 320 slice comput-er tomographic scan. Thirty tumors were found locating in left atrium, 7 in right atrium, 3 in right ventricle and 1 tumor spreading from right atrium to right ventricle. Thirty-eight cases were performed operation with cardiopulomonary bypass ex-cept three suspected as right ventricular malignant tumor. Emergency operation was performed in 2 cases, limited operation was performed in 15 cases and selective operation was performed in 21 cases. No surgery was performed on the three pa-tients who were suspected to suffered with malignance. Results: No patients died during perioperative period while 8 of them suffered with low cardiac output syndrome and 1 with respiratory failure. Thirty patients were followed up from 5 months to 10 years. The recurrence rate was 6. 6% (2 / 30) and long term mortality was 3. 3% (1 / 30). No recurrence and long term death was found in those myxomas patients. Tumor recurrenced in 2 nonmyxomas cases and tumor metastasis oc-curred in the patient with right atrial hemangiosarcoma 8 months postoperation. The other patient with malignant cardiac tumor was withdrawed. Conclusion: Echocardiography is important for diagnosis of primary cardiac tumor and 320 slice CT could offer more visualized image. When the diagnosis is definitely made, a limited operation should be performed and won-derful results are anticipated.关键词
原发性心脏肿瘤/诊断/外科手术Key words
Primary Cardiac Tumor/Diagnosis/Operation分类
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刘勇,朱水波,殷桂林,张晓明,王荣平,杜卓..原发性心脏肿瘤的诊断与外科治疗[J].肿瘤预防与治疗,2015,(3):148-151,4.
