超声心动图对87例心脏肿瘤的诊断价值

目的：探讨彩色多普勒超声心动图诊断心脏肿瘤的临床价值。方法：回顾分析87例心脏肿瘤患者的临床资料，对其发病部位、临床表现、超声心动图特征进行分析。结果：87例心脏肿瘤均获得病理证实：良性心脏肿瘤73例（83.9％），其中粘液瘤66例（90.4％），其他类型良性心脏肿瘤7例；恶性心脏肿瘤14例（16.1％）。超声心动图所见：粘液瘤示多发生于左房（58例），多数有蒂，活动度大；其他类型良性心脏肿瘤6例（86％）发生于心房或心室的心肌内，无蒂，回声较强；恶性肿瘤附着面广，可呈球状或菜花状，活动度差，无蒂，多数伴有心包积液。结论：超声心动图能动态地观察瘤体形态、大小、回声及血流动力学变化，诊断准确率高；心脏肿瘤以粘液瘤最为多见。

Diagnostic value of echocardiography for cardiac tumors of 87 cases

Objective：To explore the diagnostic value of color Doppler echocardiography for cardiac tumors .Meth-ods：Clinical data of 87 patients with cardiac tumors were retrospectively analyzed ,including their diseased loca-tion ,clinical manif′estations and echocardiography feature .Results：All cardiac tumors obtain pathologic confirma-tion .There were 73 patients （83.9% ） with benign cardiac tumors ,including 66 patients （90.4% ） with myxoma and seven patients with other types ;there were 14 patients （16.1% ） with malignant cardiac tumors .Echocardiography indicated that myxoma was often located in left atrium （n=58） ,most cases possessed pedicell,its activity was large ;Other type benign cardiac tumors feature ：The 6 case （86% ） were generated inside cardiac muscle without pedicell, its echo was more strong ;malignant tumors：its attachment surface was wide without pedicell,and it may show with globular or cauliflower ,and accompanied hydropericardium mostly .Conclusion：Echocardiography can dynamically observe the form ,size ,echo and hemodynamic changes of tumors ,its diagnostic accuracy is high .Myxoma is most frequent cardiac tumor .