| 杨旭,韩建成,刘文旭,张烨,孙琳,何怡华.超声心动图诊断双心房占位[J].中国医学影像技术,2015,31(2):236~239 |
| 超声心动图诊断双心房占位 |
| Echocardiography in diagnosis of biatrial mass |
| 投稿时间：2014-08-05 修订日期：2014-11-12 |
| DOI：10.13929/j.1003-3289.2015.02.022 |
| 中文关键词: 双心房占位 超声心动描记术 诊断显像 |
| 英文关键词:Biatrial mass Echocardiography Diagnostic imaging |
| 基金项目:科研基地建设-重点实验室-省部共建心血管重塑相关疾病教育部重点实验室(PXM2014_014226_000012)、胎儿心脏病母胎医学研究北京市重点实验室(BZ0308) |
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| 中文摘要: |
| 目的 探讨双心房占位病变的临床表现及超声心动图特征。方法 回顾性分析双心房占位患者8例,分析其临床资料及超声心动图表现,并与术后病理相对照。结果 双心房占位的8例患者中,双心房血栓5例,肿瘤3例,其中良性1例,恶性2例。6例表现为活动后胸闷憋气,2例为下肢水肿,1例为右胸痛。双心房血栓占位主要表现为基底部较宽,无蒂,较易附着于心房顶部、心房侧壁心耳开口处及心耳内血流缓慢处。良性肿瘤主要为黏液瘤,表现为多发,瘤体松散,活动度大,有较窄的蒂与心房壁或房间隔相连。恶性肿瘤占位主要表现为向心房壁或间隔壁浸润性生长,位置固定,宽基底并伴中-大量心包积液。结论 应用超声心动图可探查双心房占位的原发病变,可为临床治疗方案提供依据。 |
| 英文摘要: |
| Objective To discuss characteristics of echocardiography and clinical features of biatrial mass. Methods Eight patients with biatrial mass were retrospectively analyzed. The echocardiographic results were compared with pathological characters. Results In eight cases of biatrial mass, five cases were suffered by biatrial thrombus, two by malignancy and one by benign tumor. The most common symptoms of biatrial mass included chest distress after exercise (n=6), lower limb edema (n=2), chest pain (n=1). The patients with thrombosis placeholder showed the broad basilar part, mass adhere to atrial roof, lateral wall or atrial appendage by broad stalk. The benign tumor mainly was myxoma, which was multiple and bulk, the range of motion fargoing, the mass adhere to atrial lateral wall or atrial septum by narrow stalk. The malignant tumors were invasion toward atrial wall or atrial septum, which had fixed location and broad stalk. The patients with malignant tumors suffered from massive pericardial effusion. Conclusion Echocardiography is valuable in the diagnosis of biatrial mass and it is an important instruction to the clinic treatment plan. |
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