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目的总结96例左心房黏液瘤的外科治疗经验。方法回顾性分析手术治疗的96例原发性左心房黏液瘤患者的临床资料。手术同期行二尖瓣成形14例,二尖瓣机械瓣置换术7例,冠状动脉旁路移植术4例。结果 96例左心房黏液瘤均经手术成功切除。术后患者血流动力学平稳,无严重心律失常及栓塞等并发症。随访10个月-5年,仅1例在术后1年复发。结论确诊左心房黏液瘤后应尽早手术;完整切除肿瘤是避免术后复发的关键。
Objective To summarize the surgical experience of 96 cases of left atrial myxoma. Methods The clinical data of 96 patients with primary left atrial myxoma treated by surgery were retrospectively analyzed. Mitral valve surgery in 14 cases, mitral valve replacement in 7 cases, 4 cases of coronary artery bypass grafting. Results 96 cases of left atrial myxoma were successfully resected by surgery. Postoperative hemodynamic stability, no serious arrhythmia and embolism and other complications. Followed up for 10 months to 5 years, only 1 patient recurred after 1 year. Conclusion The diagnosis of left atrial myxoma should be performed as soon as possible. Complete resection of the tumor is the key to avoiding postoperative recurrence.