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目的探讨左心粘液瘤的诊断和治疗经验。方法回顾性分析 5 9例左心粘液瘤病例 ,其中左心房粘液瘤 5 7例 ,左心室粘液瘤2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 3例 ,三尖瓣成形术 3 8例 ,房间隔缺损修补术 2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 1例 ,时间 1个月～ 6年 ,2例复发再次手术 ,复发率 3 .9% ,效果良好。结论左心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 ,术后应随访
Objective To investigate the diagnosis and treatment of left heart myxoma. Methods A retrospective analysis of 59 cases of left heart myxoma cases, including left atrial myxoma 57 cases, 2 cases of left ventricular myxoma. All patients were diagnosed by color echocardiography preoperatively. All of them underwent extracorporeal descending myxoma removal. In the same period, mitral valve plasty was performed in 5 cases, mitral valve replacement in 3 cases, tricuspid valve implantation in 38 cases, Septal defect repair in 2 cases, diaphragm aortic valve stenosis in 1 case. Results There were no perioperative and operative deaths, 51 were followed up for 1 month to 6 years. Two patients were recruited for recurrence and reoperation. The recurrence rate was 3.9% and the effect was good. Conclusion Once the diagnosis of left heart myxoma should be performed as soon as possible, the operation result is satisfactory and the recurrence rate is low. Color echocardiography plays an important role in diagnosis and follow-up, and should be followed up