心脏恶性肿瘤姑息性治疗的个案汇总分析

【摘要】心脏恶性肿瘤较为罕见，分原发性和转移性，预后极差。由于肿瘤通常与正常心脏解剖结构分界不清，常无法进行手术根治切除。姑息性治疗包括改良的Fontan手术、经皮经导管支架植入、自适应放射治疗等手段，可缓解肿瘤造成的梗阻症状，减轻患者痛苦。现对此方面的个案报道进行汇总，希望能为临床提供治疗思路。

【关键词】心脏肿瘤；治疗；姑息性

【DOI】10.16806/j.cnki.issn.1004-3934.2023.05.015Case Summary and Analysis of Palliative Treatment of Cardiac TumorsLI Yongbin GUAN Ying ZHOU Xin ZHONG Zhiqing YANG Zhixiang YAO Zhuhua

（1.Department of Cardiology，Tianjin Union Medical Center，Tianjin 300010，China；2.Department of Cardiac Surgery，Tianjin Union Medical Center，Tianjin 300010，China）

【Abstract】Cardiac malignant tumors are rare，which can be divided into primary and metastatic，and the prognosis is very poor.Due to the unclear boundary between tumors and normal heart anatomical structures，it is often impossible to perform radical surgery.Palliative treatment，including modified Fontan surgery，percutaneous stent implantation，adaptive radiotherapy and other means，can alleviate the obstructive symptoms caused by tumors and alleviate patients pain.We summarize the case reports in this regard，hoping to provide clinical treatment ideas.

【Key words】Heart neoplasms；Treatment；Palliative

心脏肿瘤发病率较低，其中恶性约占10%，又分原发性和转移性。（剩余6483字）