论文部分内容阅读
目的 :探讨右心房粘液瘤的诊断和治疗经验。方法 :回顾性分析自 1995年 10月～ 2 0 0 1年 10月收治的 19例右心房粘液瘤病例。术前均经心脏彩色超声心动图确诊 ,均在体外循环下行粘液瘤摘除术 ,同期行三尖瓣成形术 15例 ,三尖瓣机械瓣置换术 1例 ,房间隔缺损修补术 2例。结果 :无围术期及手术死亡 ,随访 15例 ,时间 1个月～ 6年 ,心功能 :Ⅰ级 9例 ,Ⅱ级 3例 ,Ⅲ级 1例 ,1例死于非心脏方面的疾病 ,1例复发再次手术 ,复发率6 67%。结论 :右心房粘液瘤一经确诊应尽快手术 ,手术效果满意 ,复发率低 ,心脏彩色超声心动图对诊断及随访有重要作用 ,应注意术后随访。
Objective: To investigate the diagnosis and treatment of right atrial myxoma. Methods: A retrospective analysis of 19 cases of right atrial myxoma treated from October 1995 to October 2001 was performed. All patients underwent cardiac echocardiography before operation. All cases underwent myomactomy undergoing cardiopulmonary bypass. Tricuspid valve plasty was performed in 15 cases, tricuspid valve replacement in 1 case, and atrial septal defect repair in 2 cases. Results: No perioperative period and surgical death were observed. Fifteen patients were followed up for 1 month to 6 years. Cardiac function was grade Ⅰ in 9 cases, grade Ⅱ in 3 cases, grade Ⅲ in 1 case, and in 1 case died of noncardiac disease. One case of recurrent reoperation, the recurrence rate of 67 67%. Conclusion: Right atrial myxoma, once diagnosed, should be operated as soon as possible. The operation result is satisfactory and the recurrence rate is low. Cardiac echocardiography plays an important role in diagnosis and follow-up. Attention should be paid to follow-up.