心脏淋巴瘤的超声心动图特征分析

Echocardiographic characteristics of cardiac lymphoma

目的 探讨心脏淋巴瘤的超声心动图特征性表现。方法 回顾性分析我院经病理确诊的21例心脏淋巴瘤患者的临床及超声心动图检查资料,总结其超声心动图特征。结果 心脏淋巴瘤常同时累及心脏多个部位,最常累及右房(66.67%)、右室(61.90%)及心包(61.90%)。超声心动图表现:所有肿瘤均呈低或等回声,形态多呈不规则(95.24%),多与正常组织分界不清(90.48%),活动度小(85.71%),可合并不同程度心包积液(42.86%)及导致瓣膜梗阻(38.10%)。结论 心脏淋巴瘤的超声心动图表现具有一定特征性,超声心动图检查可在心脏淋巴瘤患者早期诊断、治疗及随访中动态观察心脏肿瘤变化,为临床提供重要信息。

Objective To explore the echocardiographic characteristics in patients with cardiac lymphoma.Methods The clinical and echocardiographic data of 21 patients with cardiac lymphoma in our hospital were retrospectively analyzed,and the echocardiographic characteristics were summarized.Results Cardiac lymphoma often involved multiple sites of the heart simultaneously,the most common sites were right atrium(66.67%),right ventricle(61.90%)and pericardium(61.90%).The echocardiographic characteristics included:the internal echo was mainly hypoechoic or isoechoic,the shape was irregular(95.24%),the boundary was unclear(90.48%),the mobility was small(85.71%),might accompany with pericardial effusion(42.86%)or valve obstruction(38.10%).Conclusion Echocardiographic manifestations of cardiac lymphoma have certain characteristics.Echocardiography could dynamically observe the changes of cardiac tumors in early diagnosis,during treatment and follow-up after remission,which could provide important information for clinic.