实时三维超声心动图在心脏占位诊断中的价值
The Value of Real-Time Three-Dimensional Echocardiography in Diagnosis of Cardiac Mass

作者: 白文娟 , 唐红 * , 饶莉 , 陈忠秀 , 张晓玲 :四川大学华西医院心内科,成都;

关键词: 实时三维超声心动图心脏肿瘤Real-Time Three-Dimensional Echocardiography Cardiac Mass

摘要:



Abstract:

目的:探讨实时三维超声心动图(real-time three-dimensional echocardiography, RT3DE)在心脏占位诊断中的应用价值。方法:采用Philips sonos 7500和iE33型彩色多普勒超声诊断仪,对65例心脏占位患者(中位年龄42.0岁)行RT3DE检查,结合临床资料进行回顾性分析。结果:RT3DE诊断心脏占位65例,其中左房占位24例,右房占位13例,左室占位9例,右室占位11例,右房及右室占位1例,右房及心包占位1例,心包占位5例,肺动脉主干占位1例。其中39例接受手术治疗。结论:RT3DE能够直观地显示肿瘤的空间位置、整体形态、大小、表面特征及其与周围结构的关系,为心脏肿瘤的诊断提供了可靠的新方法。
Objective: To study the value of real-time three-dimensional echocardiography (RT3DE) in diagnosis of cardiac tumor. Methods: Sixty-five patients with primary cardiac mass were retrospective studied. All cases were di-agnosed using two-dimensional and RT3DE by Philips Sonos 7500 and iE33. The operative and pathological findings were collected. Results: Of these patients, 24 cases were left atrial mass, 13 cases were right atrial mass, 9 cases were left ventricular mass, 11 cases were right ventricular mass, 1 case was right ventricular and atrial mass, 1 case was right atrial and pericardial mass, 5 cases were pericardial mass, 1 case was pulmonary artery mass. Thirty-nine patients un-dertook the surgery. Conclusion: Echocardiography is a preferred method in the diagnosis of cardiac mass. Real-time dimensional echocardiography appeared advantages in showing the whole modality and adjacent tissue.

文章引用: 白文娟 , 唐红 , 饶莉 , 陈忠秀 , 张晓玲 (2013) 实时三维超声心动图在心脏占位诊断中的价值。 医学诊断, 3, 6-9. doi: 10.12677/MD.2013.31002

参考文献

[1] F. Mehmood, N. C. Nanda, S. Vengala, et al. Live three-dimen- sional transthoracic echocardiographic assessment of left atrial tumors. Echocardiography, 2005, 22(2): 137-143.

[2] 刘文旭, 李治, 孙琳, 侯晓彤, 何怡华, 房芳. 心脏黏液瘤的超声心动图诊断(附139例手术对照)[J]. 中国医学影像技术, 2003, 19(5): 95-96.

[3] 修宗谊, 谷天祥, 阎德民, 谷春久, 肖德棉, 章志伟, 姜春力. 心脏黏液瘤176例的诊断与外科治疗临床分析[J]. 中华肿瘤防治杂志, 2007, 14(5): 383-384.

[4] 唐红, 黄承孝, 饶莉等. 实时三维超声心动图初步临床应用研究[J]. 临床超声医学杂志, 2004, 6(4): 206-208.

[5] 解俊敏, 唐红. 实时三维超声心动图诊断原发性心室肿瘤3例[J]. 临床超声医学杂志, 2006, 8(6): 376-377.

[6] 潘翠珍, 舒先红, 刘诗珍等. 实时三维超声心动图在心脏肿瘤中的应用价值[J]. 中国超声医学杂志, 2005, 21(4): 307-308.

[7] 王翠华, 黄云洲, 任书堂等. 实时三维超声心动图在心脏占位性病变中的应用价值[J]. 中国临床医学影像杂志, 2006, 17(9): 505-507.

[8] M. Ahmad, T. Xie, J. Antonio, et al. Real-time three-dimensional echocardiography with real-time volume rendering in assess- ment of left ventricular apical thrombi. Circulation, 2002, 106: e53.

[9] N. Espinola-Zavaleta, G. H. Morales, J. Vargas-Barron, et al. Three-dimensional transesophageal echocardiography in tumors of the heart. Journal of the American Society of Echocardiography, 2002, 15(9): 972-979.

[10] C. Barrea, S. Levasseur, K. Roman, et al. Three-dimensional echocardiography improves the understanding of left atrioven- tricular valve morphology and function in atrioventricular septal defects undergoing patch augmentation. The Journal of Thoracic and Cardiovascular Surgery, 2005, 129: 746-753.

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