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目的 总结心脏粘液瘤的外科治疗经验 ,探讨心脏粘液瘤的临床特点及诊疗要素。方法 1 992年 1 0月至 2 0 0 2年 1 2月手术治疗 1 5例心脏粘液瘤病人 ,男 6例 ,女 9例 ;年龄 2 1~ 63岁 (平均 45 .0 8± 1 2 .40岁 )。均在全麻中低温体外循环下行心脏粘液瘤切除术 ,其中左房粘液瘤 1 4例、右房粘液瘤 1例 ,2例同期行冠状动脉搭桥术 ,1例同期行二尖瓣置换术 ,2例同期行三尖瓣成形术。主动脉阻断时间 38.58± 2 1 .56min ,体外循环时间 74.33± 43 .47min。结果 全组无死亡、无复发、无远期并发症 ,随诊 6个月至 8年 (平均 4 .5年 )。结论 左房粘液瘤是最常见的心脏良性肿瘤 ,手术是唯一有效的治疗方法
Objective To summarize the experience of surgical treatment of cardiac myxoma and discuss the clinical features and diagnosis and treatment of cardiac myxoma. Methods Twenty-five patients with cardiac myxoma were treated surgically from January 10, 2002 to January 2012. There were 6 males and 9 females, ranging in age from 21 to 63 years (mean, 45.0 ± 12.1). 40 years old). All patients underwent cardiac myxoma resection in general anesthesia with hypothermia and cardiopulmonary bypass. Among them, 14 cases of left atrial myxoma and 1 case of right atrial myxoma occurred in 2 cases undergoing coronary artery bypass grafting during the same period. One case underwent mitral valve replacement at the same period, Tricuspid plasty was performed in 2 cases during the same period. Aortic occlusion time 38.58 ± 21.56min, cardiopulmonary bypass time 74.33 ± 43 .47min. Results The whole group had no death, no recurrence and no long-term complications. The patients were followed up for 6 months to 8 years (average 4.5 years). Conclusion Left atrial myxoma is the most common benign cardiac tumor. Surgery is the only effective treatment