摘要
目的总结二尖瓣肿瘤的临床特点、外科治疗方法及其效果。方法回顾分析1983年6月至2004年5月收治的9例二尖瓣肿瘤的临床病例。其中良性肿瘤7例,恶性肿瘤2例。9例中行二尖瓣替换术8例,二尖瓣成形1例。结果本组无手术死亡及其他并发症,患者全部痊愈出院。随访3个月至20年,死亡2例,均为恶性肿瘤,其余7例心功能I级5例,Ⅱ级2例。结论二尖瓣肿瘤的临床表现多为劳累后心慌气短。外科治疗应当根据肿瘤的性质、累及二尖瓣的部位等采取二尖瓣替换术或二尖瓣成形术。良性肿瘤外科治疗的远其效果满意。
Objective To summarize the clinical features of mitral valve tumor, methods of surgery and its outcome. Methods Analyses patients with mitral valve tumor underwent operation retrospectively. There were 9 patients with mitral valve tumor who were undertaken operation from Jun. 1983 to April 2004. 7 of them were benign and 2 were malignant. 7 undertake mitral valve replacement and 2 mitral valvuloplasty. Results There was no hospital death or complications. The duration of follow up was 3 months to 20 years. The 2 patients with malignant mitral valve tumor died lately and the rest patients were good. 5 of them were in NYHA class and 2 of them were in NYHA class Ⅱ. Conclusion The commonest clinical manifestation was exertional dyspnea. The method of surgical treatment was depended on the pathological nature of the tumor and the site of mitral valve involved. Excellent late surgical results could be obtained in patients with benign mitral valve tumor.
出处
《中国心血管病研究》
CAS
2006年第7期501-502,共2页
Chinese Journal of Cardiovascular Research
关键词
二尖瓣
心脏肿瘤
心脏外科手术
Mitral valve
Heart neoplasms
Cardiac surgical procedures
