上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (6): 739-.

• 短篇论著 • 上一篇    下一篇

66例心脏肿瘤患者手术治疗分析

毛建强, 周黎瑾, 袁忠祥, 卢成宝, 肖明第   

  1. 上海交通大学 第一人民医院心血管外科, 上海 200080
  • 出版日期:2010-06-25 发布日期:2010-06-28
  • 作者简介:毛建强（1974—）, 男, 副主任医师, 硕士；电子信箱: jianqiang.mao@gmail.com。

Analysis of 66 patients with cardiac tumors undergoing surgical treatment

MAO Jian-qiang, ZHOU Li-jin, YUAN Zhong-xiang, LU Cheng-bao, XIAO Ming-di   

  1. Department of Cardiovascular Surgery, The First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China
  • Online:2010-06-25 Published:2010-06-28

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摘要：

目的 探讨心脏肿瘤患者的临床特征和手术治疗效果。方法 回顾性分析66例行手术治疗的心脏肿瘤患者的临床资料，包括临床表现、肿瘤性质、治疗经过和治疗效果等。结果 66例患者中，心脏良性肿瘤57例，均为黏液瘤，其中围手术期死亡1例，另1例术后3年黏液瘤复发再次手术切除。心脏恶性肿瘤9例，6例为转移性恶性肿瘤，3例为原发性心脏恶性肿瘤，均于术后1～10个月死亡。结论 手术切除是心脏肿瘤首选的治疗方法；良性肿瘤预后较好，恶性肿瘤预后较差。

关键词: 心脏肿瘤, 手术, 预后

Abstract:

Objective To investigate the clinical characteristics and outcomes of surgical treatment of cardiac tumors. Methods The clinical data of 66 patients with cardiac tumors undergoing surgical treatment were retrospectively analysed, including clinical manifestations, pathological types, treatment procedures and treatment outcomes. Results There were 57 patients with benign cardiac tumors among the 66 patients, and all the tumors were myxomas. One patient died during perioperation, and another one underwent a second operation due to recurrence 3 years after first operation. Six patients experienced metastatic malignant cardiac tumors and 3 had primary malignant cardiac tumors, and all these 9 patients died 1 to 10 months after operation. Conclusion Surgical treatment may be optimal to manage cardiac tumors, with favourable outcomes in benign cardiac tumors and poor prognosis in malignant ones.

Key words: cardiac tumor, surgery, prognosis