[心脏内平滑肌瘤病的解剖病理学分类及其手术策略的选择]
[The anatomic pathological classification for intracardiac leiomyomatosis and the choice of its surgical strategy].
作者信息
Gan Hui-Li, Zhang Jian-Qun, Bo Ping, Zhou Qi-Wen, Wang Sheng-Xun, Zheng Si-Hong
机构信息
Cardiac Surgery Department, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2008 Dec 23;88(47):3362-4.
OBJECTIVE
To approach an anatomic pathological classification scheme for the intracardiac leiomyomatosis (ICL), and to guide the choice of the surgical strategy for ICL treatment.
METHODS
Retrospectively reviews the data of 13 cases of ICL from February 1995 to March 2007 in Anzhen Hospital. They were surgically treated under the CPB with different surgical strategy, and a quaternary classification scheme was used to classify them according to their anatomic pathological features of ICL.
RESULTS
There was no operative death. One patient with YBOR type of ICL died from recurrence due to the incomplete excision 5 months after the primary operation. The 5 yrs survival rate calculated by the Kaplan-Meier survival curve was 93% +/- 5%. Of the surviving 12 patients, 9 were in NYHA functional class I, and 3 in class II.
CONCLUSION
The surgical treatment of ICL can get a good mid-long term survival rate and living quality, and a quaternary classification scheme for ICL can be used to guide the choosing of surgical strategy and to understand the symptoms of ICL.
目的
探讨心脏内平滑肌瘤病（ICL）的解剖病理分类方案，指导ICL治疗手术策略的选择。
方法
回顾性分析1995年2月至2007年3月安贞医院13例ICL患者的资料。在体外循环下采用不同手术策略对其进行手术治疗，并根据ICL的解剖病理特征采用四级分类方案对其进行分类。
结果
无手术死亡。1例YBOR型ICL患者术后5个月因切除不完全复发死亡。采用Kaplan-Meier生存曲线计算的5年生存率为93%±5%。存活的12例患者中，9例纽约心脏协会（NYHA）心功能分级为I级，3例为II级。
结论
ICL的手术治疗可获得较好的中长期生存率和生活质量，ICL的四级分类方案可用于指导手术策略的选择并了解ICL的症状。
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