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目的:探讨超声心动图对心脏占位性病变的临床诊断价值。方法:选择我院收治并经彩色多普勒超声心动图检查发现的心脏占位性病变26例,对其声像图特征与术后病理检查结果进行对照分析。结果:超声心动图检查发现心脏占位性病变26例中,合并心包积液4例、瓣膜狭窄病变3例;出现流出道梗阻4例、心功能减低5例。超声心动图显示病灶10mm×10mm~120mm×150mm。本组病例均在我院接受心脏外科手术并送病理检查证实:(1)心脏原发性肿瘤22例,其中,良性肿瘤21例(黏液瘤13例,神经鞘瘤2例,纤维瘤2例,淋巴管瘤、海绵状血管瘤、叶间错构瘤及囊肿各1例);恶性淋巴瘤1例。(2)血栓性占位3例。(3)肺动脉瓣感染性赘生物1例。术后早期恢复顺利25例,死亡1例(右心室恶性肿瘤出现低心排综合征)。结论:彩色多普勒超声心动图是诊断心脏占位病变较为可靠的无创性检查方法。
Objective: To investigate the clinical value of echocardiography in the diagnosis of cardiac space-occupying lesions. Methods: Twenty-six cases of heart-occupying lesions, which were treated in our hospital and found by color Doppler echocardiography, were analyzed comparatively between the sonographic features and postoperative pathological findings. Results: Echocardiography showed that in 26 cases with cardiac space-occupying lesions, 4 cases had pericardial effusion and 3 cases had valvular stenosis. Outflow tract obstruction was found in 4 cases and cardiac function was decreased in 5 cases. Echocardiography showed lesions 10mm × 10mm ~ 120mm × 150mm. This group of patients underwent cardiac surgery in our hospital and sent pathology confirmed: (1) 22 cases of primary cardiac tumors, including 21 cases of benign tumors (13 cases of myxoma, schwannoma in 2 cases, fibroma in 2 cases , Lymphangioma, cavernous hemangioma, esophageal hamartoma and cyst in 1 case), and one case of malignant lymphoma. (2) 3 cases of thrombosis. (3) pulmonary valve infection in 1 case of neoplasm. Early postoperative recovery was successful in 25 cases, 1 patient died (right ventricular malformations appear low cardiac output syndrome). Conclusion: Color Doppler echocardiography is a more reliable and noninvasive method for the diagnosis of heart lesions.