目的:探讨心脏肿瘤的特点和外科疗效.方法:2000年1月至2008年12月,手术治疗56例心脏肿瘤患者.其中粘液性肿瘤48例(85.7%),左房粘液性肿瘤45例,右房粘液性肿瘤3例;累及右心房的下腔静脉平滑肌瘤4例(7.1%),均为良性;原发性恶性肿瘤4例(7.1%),均为肉瘤,包括左心房恶性间皮瘤2例,右心室梭形细胞肉瘸1例,右心房血管肉瘤1例.52例良性肿瘤均完整切除;4例恶性肿瘤中,完整切除2倒,大部切除1例,因广泛侵润转移者只行活检1例.同期行二尖瓣成形术5例,二尖瓣替换术1例,房间隔缺损修补术3例,室间隔修补1例,三尖瓣成形术3侧.结果:本组无围术期死亡,平均随访(33.46±11.35)个月,2例牯液瘤于3年内复发并手术,恶性肿瘤4例术后3个月至2年复发或转移死亡.结论:心脏肿瘤的疗效与病理性质和肿瘤生长部位密切相关.%Objective:To study the effect of surgical treatment of cardiac turn or. Methods: From January 2000 to December 2008, 56 patients underwent surgical treatment for cardiac tumor, the histopathologieal diagnosis of the tumor was as follow:myxomas in 48(85.7%),benign intracardia leiomyomatosis in 4(7.1%),primary malignant tumors which were all sarcomas in 4(7.1%).52 cases of benign tumor had total tumor resection; among 4 cases of malignant tumor, 2 patients had total tumor resection , 1 patient had partial tumor resection and 1 patient had only biopsy. Other operations in the same stage included 5 cases of mitral valve repair,1 case of mitral valve replacement,3 cases of tricuspid valve repair .Results: There was no perioperative death. After a mean fllow-up time of (33.46 + 11.35) months after surgery. Conclusion: The efect of surgical treatment related to the histopathologiealdiagenosis and the location of the cardiac tumor.
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