多普勒超声心动图在心脏占位性疾病中的临床应用  

Investigation Of Echocardiography In Space-Occuping Heart Diease

作　　者：李淑玲[1] 吴晓萍[1] 

机构地区：[1]内蒙古医学院附属医院超声科,内蒙古呼和浩特010050

出　　处：《疾病监测与控制》2009年第5期291-292,共2页Journal of Diseases Monitor and Control

摘　　要：目的探讨心脏占位性病变的超声表现及超声心动图对其诊断价值。方法对35例心脏占位性病变的超声诊断作回顾性分析,并与临床、手术、病理结果进行对照。结果该组心脏占位性病变以血栓、粘液瘤、赘生物最常见。血栓及粘液瘤好发生于左房,血栓多为较强回声,一般无蒂,活动度小,随心动周期而动;粘液瘤多为等回声,有蒂与心内壁相连,活动度较大;赘生物多发生于瓣膜,有感染性心内膜炎病史。结论超声心动图对心脏占位性疾病的诊断具有较高的准确性和特异性,它能准确描述病变的部位、大小、数量、形状、活动性及比邻关系。Objective To evaluate the performance of the cardiac space-occupying lesions and their diagnostic values by using echocardiography. Methods The echocardiography performance and clinical data in the thirty-five cases with cardiac lesions were analyzed with a retrospective method. Results Myxoma,thrombosis and neoplasm were most common lesions in all cases of cardiac lesions.The myxoma and thrombus were mainly observed in the left atrium and easily detected by ultrasound.The myxoma, with flexible movement, mostly showed a middle level echo with a pedicel on the heart wall. While with limited movement,the thrombosis had a high level echo without a pedicel.The neoplasm was mainly observed in the mitral valve and aortic valve. Most of patients with the neoplasm had a history of infective endcarditis. Conclusion Echocardiography has a highly preasice to evaluate the performance of the cardiac space-occupying lesions. It can occurately describe the location,size,number, shape,movement and Surrounding tissues.

关 键 词：多普勒超声心动图 心脏肿痛 心脏占位性疾病 临床 应用 

分 类 号：R540.45[医药卫生—心血管疾病] R732.1[医药卫生—内科学]