肺癌心脏转移诊断与外科治疗分析.pdfVIP

第 21 卷第1 期 Vol. 21 No.1 河南医学研究 2012 年 3 月 HENAN MEDICAL RESEARCH March 2012 文章编号: 1004437X (20 I:l) 01 -0037 -03 ·临床研究· 肺癌心脏转移诊断与外科治疗分析 闰道乐，赵文增，文 ;水，许华山 (郑州大学第一附属医院心外科河南郑州 450052) 摘要:目的:探讨肺癌心脏转移的临床特点及手术治疗效果。方法:回顾性分析2001 年8 月至2011 年8 月 诊治的 16 例肺癌心脏转移患者的临床资料，包括临床表现、肿瘤性质、治疗经过和治疗效果等。结采:心血 管系统症状为首发的 16 例肺癌心脏转移患者临床表现主要为:心力衰竭(93.75Q品) ，心包积液(68.75 t;毛) , 心律失常(43.75 ，}毛) 0 PET-CT 术前检出 7 例淋巴结转移。无手术死亡病例，术后生存中位时间 II 个月。分 析表明病人术后生存期与年龄、是否根治性切除、肺切除范围、有无淋巴结转移、肿瘤侵犯部位、及是否行术 前新辅助化疗相关(P O. 05) ，手术治疗能明显改善患者心功能。结论:对于心血管系统症状为首发的心 脏肿瘤病人，应常规行 PET-CT。选择正确的病例和彻底切除肿瘤，结合术前新辅助化疗能延长术后生存时 间。手术治疗可改善患者的生活质量，对提高远期生存率意义不大。 关键词:肺癌;心脏转移;诊断与治疗 中图分类号: R734.2 文献标识码: B doi: 10. 3969/j. issn. 1004437X2012. 0 1. 013 Diagnosis and surgical treatment of cardiac metastases from lung cancer YAN Dao-le , ZHAO Wen-ze吨， WEN Bing , XU Hua-shan (Department 0/ Cardiovascular Surgery , the First Affiliated Hospital 0/ Zhengzhou University ,Zhengzhou 450052 , Chinα) Abstract: Objective: To investigate the clinical characteristics and outcomes of surgical treatment of cardiac metastase from lung cancer. Methods: 16 patients with cardiac metastases were analysed through retrospective analysis ,whom underwent surgical treatment from august 2001 to august 2011 in cardiovascular surgery department of the first affiliated hospital of zhengzhou university. Re- sults: The chief clir山al features were heart failure ( 93. 75% ) ,pericardial effusion (68. 75% ) and aηhythmia( 43.75% ). 7 cases of lymph node metastasis were diagnosed through the PET -CT. The median survival period was 11 months