| 经胸超声心动图诊断心房占位性病变 |
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| 引用本文： | 李岩,耿斌,常凤玲,冯俊,秦金霞,翟慧萍,刘罡,王清国.经胸超声心动图诊断心房占位性病变[J].中国医学影像技术,2019,35(10):1486-1489. |
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| 作者姓名： | 李岩 耿斌 常凤玲 冯俊 秦金霞 翟慧萍 刘罡 王清国 |
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| 作者单位： | 新乡市中心医院超声一科, 河南 新乡 453000,首都医科大学附属北京安贞医院小儿心脏中心, 北京 100029,新乡市中心医院超声一科, 河南 新乡 453000,新乡市中心医院超声一科, 河南 新乡 453000,新乡市中心医院超声一科, 河南 新乡 453000,新乡市第二人民医院超声科, 河南 新乡 453002,新乡市中心医院超声一科, 河南 新乡 453000,滨州市人民医院超声科, 山东 滨州 256603 |
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| 摘 要： | 目的 探讨经胸超声心动图对心房占位性病变的诊断价值。方法 回顾性分析79例超声心动图诊断为心房占位性病变患者，分析其超声心动图特征，并与手术病理结果进行对照。结果 79例中，左心房血栓47例（47/79，59.49%），左心房黏液瘤23例（23/79，29.11%），右心房黏液瘤3例（3/79，3.80%），心内平滑肌瘤病为静脉内平滑肌瘤累及右心房4例（4/79，5.06%），肺腺癌转移至右心房2例（2/79，2.53%）。术前超声心动图诊断与手术病理结果相符72例，2例诊断不足，误诊2例，漏诊3例。结论 超声心动图可作为诊断心房占位性病变的首选影像学检查方法，为临床治疗提供重要参考依据。
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| 关 键 词： | 心脏 超声心动描记术 占位性病变 |
| 收稿时间： | 2019/1/11 0:00:00 |
| 修稿时间： | 2019/8/27 0:00:00 |
Transthoracic echocardiography in diagnosisof atrial space occupying lesions |
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| LI Yan,GENG Bin,CHANG Fengling,FENG Jun,QIN Jinxi,ZHAI Huiping,LIU Gang and WANG Qingguo.Transthoracic echocardiography in diagnosisof atrial space occupying lesions[J].Chinese Journal of Medical Imaging Technology,2019,35(10):1486-1489. |
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| Authors: | LI Yan GENG Bin CHANG Fengling FENG Jun QIN Jinxi ZHAI Huiping LIU Gang and WANG Qingguo |
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| Institution: | First Department of Ultrasound, Central Hospital of Xinxiang, Xinxiang 453000, China,Pediatric Cardiovascular Center, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China,First Department of Ultrasound, Central Hospital of Xinxiang, Xinxiang 453000, China,First Department of Ultrasound, Central Hospital of Xinxiang, Xinxiang 453000, China,First Department of Ultrasound, Central Hospital of Xinxiang, Xinxiang 453000, China,Department of Ultrasound, the Second People''s Hospital of Xinxiang, Xinxiang 453000, China,First Department of Ultrasound, Central Hospital of Xinxiang, Xinxiang 453000, China and Department of Ultrasound, the People''s Hospital of Binzhou, Binzhou 256603, China |
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| Abstract: | Objective To explore the clinical value of transthoracic echocardiography in diagnosis of atrial space occupying lesions. Methods Data of 79 patients with atrial space occupying lesions diagnosed by echocardiography were reviewed. The echocardiographic characteristics were retrospectively analyzed and compared with surgical and pathological results. Results Among 79 patients, there were 47 cases (47/79, 59.49%) with left atrial thrombi, 23 cases (23/79, 29.11%) with left atrial myxomas, 3 cases (3/79, 3.80%) with right atrial myxomas, 4 cases (4/79, 5.06%) with intracardiac leiomyomatosis and 2 cases (2/79, 2.53%) with malignant tumors transfered to the right atrium from adenocarcinoma of the lung. Echocardiographic diagnosis was consistent with surgical pathology results in 72 cases, whereas there were 2 cases of underdiagnosis, 2 cases of misdiagnosis and 3 cases of missed diagnosis. Conclusion Echocardiography is the preferred image method for diagnosis of atrial space occupying lesions, which can provide important references for clinic treatment. |
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| Keywords: | heart echocardiography space occupying lesions |
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