原发性心脏肿瘤的超声诊断价值及误漏诊分析  

Significance of Echocardiography inDiagnosing Primary Cardiac Tumors and Analysis of Causesof Misdiagnosis and Missed Diagnosis

作　　者：欧阳福珍[1] 祁芸云[1] 张树彬[1] 何萍[2] 张宝娓[2] 李湘燕[1] 

机构地区：[1]北京医科大学第一医院老年内科,北京100034 [2]北京医科大学第一医院心内科,北京100034

出　　处：《中国医学影像技术》2000年第5期365-367,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　评价超声心动图对原发性心脏肿瘤的诊断价值 ,并结合文献探讨原发性良、恶性心脏肿瘤的超声特点 ,以及其诊断心脏肿瘤误漏诊的原因。方法　对 35例经手术、尸解、电子计算机X线体层扫描 (CT)、磁共振显像 (MRI)及病理结果证实的原发性心脏肿瘤患者的超声心动图资料进行分析。结果　通过超声首先发现和诊断心脏肿瘤者占 91 43% (32 / 35 )。患者首次通过超声检查诊断心脏肿瘤的准确率和误漏诊率分别为 71 43%和2 8 5 7%。结论　超声心动图对原发性心脏肿瘤有独特的诊断价值和优越性 ,根据肿瘤超声病理改变 ,对判断肿瘤性质有很大帮助。临床对心脏肿瘤应提高警惕 ,在超声诊断时应小心慎重。Objective Toevaluatethesignificanceofechocardiographyindiagnosingprimarycardiactumors.Combined withdocuments,theechocardiographiccharacteristicsofprimarybenignandmalignanttumorsandthecausesofmisdiagno sisandmisseddiagnosiswithechocardiographywereinvestigated .Methods Theechocardiographicdataofthirty fivecases ofprimarycardiactumorswhichconfirmedbyoperation ,autopsy ,ComputerTomography ,MagneticResonanceImagingandpathologicalexaminationwereanalysed .Results 91.43%ofthem (32 / 35 )werefirstdiscoveredanddiagnosedbye chocardiography .Atfirsttimeexamination ,thecorrectechocardiographicdiagnosingrateandmissedandmisdiagnosisrate were 71.43%and 2 8.5 7%respectively .Conclusion Echocardiographyisofuniquevalueandsuperiorityindiagnosisof primarycardiactumors.Ithasgreathelpinassesingbenignormalignantcharacteristicsoftumoraccordingtopathologic changesfromechocardiography .Cliniciansshouldbeawareofcardiactumorwhileechocardiographiersshouldbecautiousin diagnosis. [

关 键 词：原发性心脏肿瘤 超声心动图 误诊 漏脊 诊断 

分 类 号：R733.104[医药卫生—肿瘤]