原发性肺动脉肿瘤三例报告及文献复习

• 作 者: 孟强 宋云虎 孙立忠 王巍 许建屏
• 机 构: 中国医学科学院北京阜外心血管病医院心血管外科,中国医学科学院北京阜外心血管病医院心血管外科,中国医学科学院北京阜外心血管病医院心血管外科,中国医学科学院北京阜外心血管病医院心血管外科,中国医学科学院北
• 出 处: 北京医学
• 发表日期: 2006年11期
• 关键词: 原发性肺动脉肿瘤 外科治疗

目的总结原发性肺动脉肿瘤的临床特点。方法分析3例原发肺动脉肿瘤患者的临床资料,并复习相关文献。结果3例中,男1例,女2例,年龄分别为45、40、39岁,均行肿瘤切除和肺动脉重建术。无手术死亡者,术后心功能均改善至NYHAII级,2例术后4个月死亡,1例术后6个月局部复发接受伽玛刀治疗,随访14个月仍存活。结论CT和MRI等影像学诊断可提高原发性肺动脉肿瘤的早期诊断率,外科手术治疗能够改善临床症状和延长患者生命。

Objective To summarize the clinical features of primary pulmonary tumor. Methods The clinical data of 3 patients with primary pulmonary artery tumor were analyzed and relevant literature was reviewed. Results In 3 cases, there were 1 males and 2 females, with the age of 45, 40, and 39 years respectively. All underwent resection and pulmonary artery reconstruction. None of the patients who died of surgery had improved NYHA class Ⅱ after cardiac function, 2 died 4 months after operation, and 1 case had local recurrence 6 months after operation. They were treated with gamma knife and survived for 14 months. Conclusion Imaging diagnosis of CT and MRI can improve the early diagnosis rate of primary pulmonary artery tumor. Surgery can improve the clinical symptoms and extend the life of patients.