107例原发性心脏肿瘤的诊断和外科治疗

目的：研究原发性心脏肿瘤的诊断及外科治疗方法。方法：以超声心动图和多普勒了解肿瘤位置和瓣膜功能情况。非粘液性和恶性肿瘤需施行CT和（或）MRI检查，了解肿瘤和毗邻心脏结构关系，探讨右心房、左心房、左右双心房、左心室切口的优缺点。结果：本组肿瘤全切除104例，部分切除2例，活俭1例。住院期死亡3例，死亡率28％。结论：原发性良性肿瘤早期彻底切除防止复发，恶性肿瘤根据病情切除或部分切除，随访中良性肿瘤无复发，晚期死亡3例。其中恶性2例，1例良性死于其它恶性肿瘤广泛转移。

Diagnosis and Treatment of Primary Cardiac Tumor: 107 Cases Report

objective: To study the diagnosis and treatment of primary cardiac tumors. Methods: Two - dimensional e chocardiography and Doppler are uti1ized to locate the tumor and evaluate the valvular function. Computer Tomography (CT)and nuclear Magnetic Resonance Inaging (MRI) are used to sutdy the advantages and disads vantages of right atrial inision, left atrial inision, both right and left atrial incisions and ventricular incision. Results: All cases were operated by cardiopulmonary bypass procedure Among them, 104 cases were completely resected, 2 were partially resected and 1 patient was biopsied. 3 patients died during hospitallzation. The overall mortality rate was 2. 8 %. Conclusions: Postoperative follow - up revealed that all patients are living well with no recurrences, execpt 2 cases of malignant tumors died of recurrence and metastasis, one case of benign myxoma died of another metastatic malignant tumor.