实时三维超声心动图在心脏占位诊断中的价值

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.