86例心脏粘液瘤的外科治疗

Surgical Treatment of Atrial Myxomas

  • 摘要: 目的:总结86例心脏粘液瘤外科治疗经验。方法:回顾性分析86例心脏粘液瘤病例手术资料,左房粘液瘤58例,右房粘液瘤28例,均在体外循环下行粘液瘤摘除。结果:86例均痊愈出院,同期行三尖瓣成形14例,三尖瓣与二尖瓣成形4例,二尖瓣置换4例。结论:术中应注意麻醉诱导与插管方法,选择恰当的手术径路,防止瘤体破碎、脱落造成栓塞,切除粘液瘤要彻底。

     

    Abstract: Objective : Summing-up the experience of surgical treatment for 86 cases of atrialmyxomas. Methods : Between January 1984 and January 2001,86 patients underwent evaluation andtreatment for atrial myxomas. Results : 86 patients were diagnosed of atrial myxomas (Male/Female: 32/average age 46+14 years. The myxomas were removed by transthoracic approach using extracorpo-circulation. Pathological examination of the tumors showed atrial myxomas. There were no periop-erative deaths. Conclusions : Complete surgical resection,when possible,is only choice for the treat-ment of primary cardiac myxomas. Prognosis after surgical excision is usually excellent.

     

/

返回文章
返回