论文部分内容阅读
目的 探讨心房粘液瘤的诊断和治疗经验。方法 回顾性分析自 1995年 10月至 2 0 0 1年 10月收治的 76例心房粘液瘤病例 (其中左心房粘液瘤 5 7例 ,右心房粘液瘤 19例 )。术前均经彩色超声心动图确诊 ,均在体外循环下行粘液瘤摘除术 ,同期行二尖瓣成形术 5例 ,二尖瓣机械瓣置换术 2例 ,三尖瓣成形术 5 2例 ,三尖瓣机械瓣置换术 1例 ,房间隔缺损修补术 4例 ,隔膜型主动脉瓣下狭窄解除术 1例。结果 无围术期及手术死亡 ,随访 5 7例 ,时间 1个月到 6年 ,3例复发再次手术 ,复发率 5 3%。结论 心房粘液瘤一经确诊应尽快手术 ,手术效果满意 ,复发率低 ,彩色超声心动图对诊断及术后随访有重要作用 ,应注意术后随访。
Objective To investigate the diagnosis and treatment of atrial myxoma. Methods A retrospective analysis of 76 cases of atrial myxoma treated in our hospital from October 1995 to October 2001 (including 57 cases of left atrial myxoma and 19 cases of right atrial myxoma). All patients were diagnosed by color echocardiography preoperatively. All patients underwent myomactomy undergoing cardiopulmonary bypass. In the same period, mitral valve plasty was performed in 5 cases, mitral valve replacement in 2 cases, tricuspid valvuloplasty in 52 cases, 1 case of mitral valve replacement, 4 cases of atrial septal defect repair, and 1 case of diaphragm type aortic valve stenosis. Results There were no perioperative and operative deaths. A total of 57 patients were followed up for 1 month to 6 years. Three patients underwent recurrence and reoperation with a recurrence rate of 53%. Conclusions Atrial myxoma should be operated as soon as it is diagnosed. The operative result is satisfactory and the recurrence rate is low. Color echocardiography plays an important role in the diagnosis and postoperative follow-up. Attention should be paid to follow-up.