多心腔多发粘液瘤的临床特征与手术方法

目的　探讨多心腔多发粘液瘤的临床特征，改进其手术方法，避免术中瘤体遗漏，心肌损伤，提高手术生存率。　方法　收治多心腔多发粘液瘤１２ 例。在体外循环下切除瘤体３３ 个。术后长期观察随访。　结果　术中发现超声诊断对该症往往漏诊，原手术方法对心肌损伤大，易出现并发症。术后５ 例复发，其中３ 例因拒绝和等待手术者死于脑栓塞；另２ 例再手术者死亡１ 例，８ 例健在。　结论　本病手术难度大，术中要仔细探查，避免遗漏。术后复发率高，要长期随访。该症瘤体更易脱落，一旦确诊应及早手术。

Clinical Feature of Multiple Myxomas in Chambers of the Heart and Operative Method

Objective To ascertain clinical feature of multiple myxomas in chambers of the heart and improve operative method for postoperative survival rate. Methods Twelve cases of multiple intracavitary myxomas were treated surgically, 33 myxomas of the heart were removed in consecutive cases by extracorporeal circulation. Results The postoperative early results were good, but late results were unsatisfactory. Five cases relapsed, among them three cases died of cerebral embolism, and two cases were reoperated. The others survived over 2 14 years after surgery. Conclusion Appropriate preventive measures should be taken to improve operative method to reduce postoperative mortality.