原发性心脏肿瘤的超声心动图诊断特征及价值分析

The Echocardiographic Diagnostic Characteristics and Value of Primary Cardiac Tumors

目的:分析原发性心脏肿瘤的超声心动图诊断情况及应用价值。方法:选取贵州医科大学附属医院2008年3月至2016月5月收治的61例原发性心脏肿瘤患者,整理其临床资料,比较分析超声检查结果与手术病理。结果:手术前,进行超声心动图检测,有58例患者的黏液瘤诊断正确,2例肉瘤及良性非黏液性肿瘤诊断占位性病变。黏液瘤主要出于左房,大部分附着在房间隔,有较大的活动空间,包膜较完整。其存有蒂,与心肌有明确分界线,很少复发。恶性肿瘤一般无蒂,活动度比较小、缺少完整的包膜,容易复发,与心肌分界不清楚。结论:超声心动图诊断,在原发性心脏肿瘤诊断中具有重要作用,在临床上凸显重要的价值。

Objective To analyze the echocardiographic diagnosis of primary cardiac tumors and application value. Methods 61 patients with primary cardiac tumors between March 2008 to 2016 were chosen as the research object, and their clinical data, ultrasonic examination results were compared with those of the surgical pathology. Results 58 patients with myxoma diagnosis was correct, and 2 cases were sarcomas and benign non mucus tumor diagnosis of space-occupying lesions. Myxoma was mainly for left atrial, most adhere to the interatrial septum, had larger space. Its entities, and myocardial with clear boundary, rarely relapse. Malignant tumors generally no, the activity was small, the lack of a complete coating, easy to relapse, and the border was not clear. Conclusion Echocardiography diagnosis, plays an important role in the diagnosis of primary cardiac tumors, highlight the important value in clinic.