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目的:总结 6 9例心脏原发肿瘤的临床表现及外科治疗经验 ,评价手术效果。方法 :6 9例中良性肿瘤 6 2例 ,恶性肿瘤 7例 ,均于体外循环下行心内直视手术。完整切除左心房肿瘤 5 4例 ;右心房肿瘤 11例 ,完整切除 6例 ,姑息性手术 5例 ;左心室肿瘤 1例 ,右心室肿瘤 2例 ,三尖瓣肿瘤 1例均于心脏停跳下完整切除。结果:6 9例病人无手术死亡。术后 1例左心房粘液瘤患者发生了脑栓塞 ,治疗后好转出院。6 9例随访 3个月～ 10年 ,6 2例心脏良性肿瘤均无复发 ,7例恶性肿瘤 3个月～ 1年死亡。结论 :心脏肿瘤临床表现差异很大 ,手术切除是治疗心脏肿瘤的首选方法 ;术后随访复查非常重要 ;心脏良性肿瘤手术效果很好 ,远期无复发 ;恶性肿瘤的预后欠佳。
Objective: To summarize the clinical manifestations and surgical treatment experience of 69 primary cardiac tumors and evaluate the effect of surgery. Methods: 62 cases of benign tumors in 62 cases, 7 cases of malignant tumors, under cardiopulmonary bypass under direct open surgery. Complete resection of left atrial tumor 54 cases; right atrial tumor in 11 cases, complete resection in 6 cases, palliative surgery in 5 cases; left ventricular tumor in 1 case, right ventricular tumor in 2 cases, tricuspid valve tumor in 1 case were cardiac arrest Complete removal. Results: Ninety-nine patients died without surgery. One patient with left atrial myxoma developed cerebral embolism and was discharged after treatment. Sixty-nine patients were followed up for 3 months to 10 years. There were no recurrences in 62 cases of benign cardiac tumors and 7 cases of malignant tumors died in 3 months to 1 year. Conclusion: The clinical manifestations of cardiac tumors vary greatly. Surgical resection is the first choice for the treatment of cardiac tumors. Postoperative follow-up is very important. Good surgical results of cardiac benign tumors have no recurrence in the long term. The prognosis of malignant tumors is poor.