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为了阐明室间隔膜部瘤合并室缺的临床特征和外科治疗原则。我们对1985年6月至1995年3月共收治的17例病人,在体外循环下进行手术修补,木中发现室缺位于膜部者15例、肺动脉瓣下者2例,瘤破口大小为0.3~0.6cm,瘤体大小为0.5cm×1.0cm~2.0cm×3.0cm。结果:本组无手术死亡,随访6~110个月,病人情况良好。结果显示:室间隔膜部瘤的手术要点,应剪开瘤囊,从基底部进行缝合修补,再将瘤囊覆盖重新心内膜化的作法最佳。
To clarify the clinical features of the ventricular septal tumor with ventricular septal defect and surgical treatment principles. We performed surgical repairs on 17 patients who were admitted to the hospital from June 1985 to March 1995. In the wood, 15 cases were located in the membranous region and 2 cases were found below the pulmonary valve. The tumor rupture size was 0.3 to 0.6 cm, the size of the tumor was 0.5 cm x 1.0 cm to 2.0 cm x 3.0 cm. Results: There were no operative deaths in this group. The follow-up period was 6 to 110 months. The patients were in good condition. The results showed that: the surgical point of ventricular septal mesothelioma, the tumor capsule should be cut, suture from the base of the repair, and then re-intracardiac tumor sac cover the best way.