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目的探讨心脏黏液瘤的诊断和外科治疗。方法65例心脏黏液瘤病人,在低温体外循环下进行肿瘤切除术。结果术后死亡2例(3·08%),其余患者术后恢复好,临床症状消失,心功能恢复至Ⅰ级。随访6个月~10年,未见肿瘤复发和远处种植转移。结论超声心动图是诊断心脏黏液瘤的最有效方法,心脏黏液瘤一经确诊应尽快手术。
Objective To investigate the diagnosis and surgical treatment of cardiac myxoma. Methods Sixty-five patients with cardiac myxoma underwent tumor resection under hypothermic cardiopulmonary bypass. Results Postoperative death occurred in 2 patients (3.08%). The rest of the patients recovered well after surgery and the clinical symptoms disappeared and their cardiac function recovered to grade Ⅰ. Follow-up 6 months to 10 years, no tumor recurrence and distant metastasis. Conclusion Echocardiography is the most effective method to diagnose cardiac myxoma. Once diagnosed, myxoma of the heart should be operated as soon as possible.