超声心动图对原发性心室肿瘤的诊断价值

目的探讨超声心动图在原发性心室肿瘤诊断中的应用价值。方法采用Philips Sonos5500和Philips Sonos7500型彩色多普勒超声诊断仪,应用二维及实时三维超声心动图(RT-3DE)观察心室占位12例,结合临床资料进行回顾性分析。结果超声诊断心室占位12例,其中右室占位7例(58.3%),左室占位5例(41.7%),手术8例,术中所见与超声诊断一致,符合率为100%,病理证实黏液瘤5例,脂肪瘤1例,血管瘤1例,恶性间皮瘤1例。结论常规二维超声能够准确、直观地了解心室肿瘤的形态、大小、附着部位及活动度,RT-3DE能够显示肿瘤的整体形态和空间位置关系,较二维超声有更大的优势。

Echocardiographic diagnosis of primary ventricular tumor

Objective To study the diagnostic value of echocardiography in primary ventricular tumor. Methods Twelve patients with primary ventricular tumor were received examination by two-dimensional and real-time three-dimensional echocardiography using Philips Sonos 5500 and Sonos 7500. Results Of the twelve patients, seven cases were right ventricular tumor (58.3%) and five cases were left ventricular tumor (41.7%). Eight patients had undergone the tumor resection. Five cases were myxoma, other three cases were lipoma, angeioma and malignant mesothelioma respectively. The accuracy of echocardiography in diagnosing ventricular tumor was 100%. Conclusion Echocardiography is a preferred method in diagnosing of primary ventricular tumor. Real-time three-dimensional echocardiography appeared advantages in showing the whole modality and adjacent tissue.