胎儿心脏肿瘤的产前二维及三维超声诊断  

Prenatal Two-dimensional and Three-dimensional Echocardiography in the Diagnosis of Fetal Cardiac Tumors

作　　者：范海波[1,2] 焦阳[1,2] 宋红[1,2] 陈立新[1,2] 石秋玲[1,2] 吴瑛[1,2] 

机构地区：[1]深圳市人民医院 [2]暨南大学第二临床医学院超声科,广东省深圳市518000

出　　处：《中国超声医学杂志》2012年第7期663-666,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨胎儿心脏肿瘤的二维及三维超声心动图表现及其诊断价值。方法回顾性分析产前超声检查发现的16例胎儿心脏肿瘤患者的超声表现及临床资料,与病理或临床观察结果进行比较分析。结果 16例产前超声诊断胎儿心脏肿瘤中,单发7例、多发9例。声像图特征为心腔或心肌内见单个或多个形态稳定、边界清晰、内部回声均匀的等回声或高回声肿块。16例患者中引产14例,经尸检证实9例:横纹肌瘤8例,纤维瘤1例;5例未毒作尸检。其余2例继续妊娠,其中1例生后1年肿瘤消退,另1例生后1年肿瘤变化不大,均未引起严重并发症。结论产前应用二维及三维胎儿超声心动图检查可作为检出和评价胎儿心脏肿瘤的首选方法。Objective To evaluate the performance of the cardiac space occupying lesions and their diagnostic val- ues by using two dimensional （2D） and three-dimensional （3D） echocardiography. Methods The echocardiography performance and clinical data in sixteen cases with cardiac space occupying lesions were analyzed retrospectively, corn- pared with pathological findings and clinical observation. Results Of 16 cases of fetal cardiac tumors diagnosed by echocardiography, 7 cases were single, 9 cases were multiple. They were equal or high-level echo mass, with stable morphous and sharpness of border in chambers or cardiac muscle. 14 cases were induced abortion, 9 cases were con- firmed by autopsy after abortion. The other 5 cases were not autopsied. The last two cases were born, 1 case with re gressed tumor, the other has no change up to one year after birth without severity complications. The pathological finding showed that 8 tumors were rhabdomyoma and 1 fibroma. Conclusions Prenatal 2D and 3D echocardiography will become the first method of choice in detecting and evaluating of cardiac space occupying lesions.

关 键 词：超声检查 产前 胎儿 心脏肿瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]