体外循环心内直视手术治疗心脏肿瘤的效果观察
|
摘要
目的观察并探讨体外循环心内直视手术治疗心脏肿瘤的临床效果。方法收集2013年4月至2017年12月期间26例内蒙古乌兰察布市中心医院收治的经体外循环心内直视手术治疗心脏肿瘤患者的临床资料,结合相关文献进行分析。结果全组患者手术治疗后效果明显,住院期间无死亡病例,术中发现均为黏液瘤,术后并发症多以心律失常较为常见,术后随访1～2年,无复发患者。结论体外循环心内直视手术治疗心脏肿瘤为最有效、最确切的治疗方法,建议作为治疗心脏肿瘤的首选方法。
Objective To observe and discuss the clinical effect of open heart surgery under cardiopulmonary bypass in the treatment of cardiac tumors. Methods To collect the clinical data of 26 patients with cardiac tumors treated by open heart surgery under cardiopulmonary bypass in Wulanchabu Central hospital from April 2013 to December 2017, and to analyze the related literature. Results The postoperative effect is obvious, no death occurred during hospitalization. All of them were myxoma during operation. Arrhythmia is more common in postoperative complications. All patients were followed up for 1 to 2 years without recurrence. Conclusion Open heart surgery with cardiopulmonary bypass is the most effective and accurate method for the treatment of cardiac tumors, It is recommended as the first choice for treating cardiac tumors.
Objective To observe and discuss the clinical effect of open heart surgery under cardiopulmonary bypass in the treatment of cardiac tumors. Methods To collect the clinical data of 26 patients with cardiac tumors treated by open heart surgery under cardiopulmonary bypass in Wulanchabu Central hospital from April 2013 to December 2017, and to analyze the related literature. Results The postoperative effect is obvious, no death occurred during hospitalization. All of them were myxoma during operation. Arrhythmia is more common in postoperative complications. All patients were followed up for 1 to 2 years without recurrence. Conclusion Open heart surgery with cardiopulmonary bypass is the most effective and accurate method for the treatment of cardiac tumors, It is recommended as the first choice for treating cardiac tumors.
引文
[1]于坤,龙村,黑飞龙,等.242例外科治疗的心脏肿瘤的临床分析[J].中国肿瘤临床,2006,33(15):877-880.
[2]Maraj S,Pressman GS,Figueredo VM.Primary cardiac tumors[J].Int J Cardiol,2009,133(2):152-156.
[3]Steger CM,Hager T,Ruttmann E.Primary cardiac tumours:a single-center 41-year experience[J].Isrn Cardiology,2012,2012(2012):906109.
[4]黑飞龙,李桂芬,孙桂民,等.心脏肿瘤流行病学分析[J].中华肿瘤防治杂志,2003,10(6):561-562.
[5]毛歆歆,崔全才.心脏肿瘤54例临床病理分析[J].临床与实验病理学杂志,2013,29(8):876-880.
[6]Grebenc ML,Rosado ML,et al.Primary cardiac and pericardial neoplasms:radiologic-pathologic correlation[J].Radiographics,2016,20(4):1073-1103.
[7]宋书田,杨明,张楠,等.心脏肿瘤的诊断与外科治疗[J].中国医药导刊,2011,13(8):1312-1313.
[8]郑颖,刘启明,周胜华.186例心脏肿瘤临床特征分析[J].中国循环杂志,2014,29(1):52-54.
[9]Meng Q,Lai H,Lima J,et al.Echocardiographic and pathologic characteristics of primary cardiac tumors:a study of 149 cases[J].Int J Cardiol,2002,84(1):69-75.
[10]姜波,周中新,刘京松,等.外科治疗心脏肿瘤40例临床分析[J].齐齐哈尔医学院学报,2014,35(24):3645-3647.
[11]Selkane C,Amahzoune B,Chavanis N,et al.Changing management of cardiac myxoma based on a series of 40cases with long-term follow-up[J].Ann Thorac Surg,2003,76(6):1935-1938.
[12]修宗谊,谷天祥,阎德民,等.心脏黏液瘤176例的诊断与外科治疗临床分析[J].中华肿瘤防治杂志,2007,14(5):383-384.
[13]曹劝省.体外循环心内直视手术治疗心脏肿瘤的效果观察[J].河南医学研究,2016,25(5):887-888.
[14]Deshpande RP,Casselman F,et al.Endoscopic Cardiac Tumor Resection[J].Ann Thorac Surg,2007,83(6):2142-2146.
[2]Maraj S,Pressman GS,Figueredo VM.Primary cardiac tumors[J].Int J Cardiol,2009,133(2):152-156.
[3]Steger CM,Hager T,Ruttmann E.Primary cardiac tumours:a single-center 41-year experience[J].Isrn Cardiology,2012,2012(2012):906109.
[4]黑飞龙,李桂芬,孙桂民,等.心脏肿瘤流行病学分析[J].中华肿瘤防治杂志,2003,10(6):561-562.
[5]毛歆歆,崔全才.心脏肿瘤54例临床病理分析[J].临床与实验病理学杂志,2013,29(8):876-880.
[6]Grebenc ML,Rosado ML,et al.Primary cardiac and pericardial neoplasms:radiologic-pathologic correlation[J].Radiographics,2016,20(4):1073-1103.
[7]宋书田,杨明,张楠,等.心脏肿瘤的诊断与外科治疗[J].中国医药导刊,2011,13(8):1312-1313.
[8]郑颖,刘启明,周胜华.186例心脏肿瘤临床特征分析[J].中国循环杂志,2014,29(1):52-54.
[9]Meng Q,Lai H,Lima J,et al.Echocardiographic and pathologic characteristics of primary cardiac tumors:a study of 149 cases[J].Int J Cardiol,2002,84(1):69-75.
[10]姜波,周中新,刘京松,等.外科治疗心脏肿瘤40例临床分析[J].齐齐哈尔医学院学报,2014,35(24):3645-3647.
[11]Selkane C,Amahzoune B,Chavanis N,et al.Changing management of cardiac myxoma based on a series of 40cases with long-term follow-up[J].Ann Thorac Surg,2003,76(6):1935-1938.
[12]修宗谊,谷天祥,阎德民,等.心脏黏液瘤176例的诊断与外科治疗临床分析[J].中华肿瘤防治杂志,2007,14(5):383-384.
[13]曹劝省.体外循环心内直视手术治疗心脏肿瘤的效果观察[J].河南医学研究,2016,25(5):887-888.
[14]Deshpande RP,Casselman F,et al.Endoscopic Cardiac Tumor Resection[J].Ann Thorac Surg,2007,83(6):2142-2146.