心肌声学造影在心脏占位性病变诊断中的研究进展  

Research Progress of Myocardial Contrast Echocardiography in Diagnosis of Cardiac Space-occupying Lesions

作　　者：田丰 高宇勤 郝霁萍 TIAN Feng;GAO Yuqin;HAO Jiping(Graduate Office of Xi′an Medical University,Xi′an 710021,China;Department of Cardiovascular Medicine,Xi′an Ninth Hospital,Xi′an 710054,China;Department of Ultrasound Medicine,Xi′an Ninth Hospital,Xi′an 710054,China)

机构地区：[1]西安医学院研究生处,西安710021 [2]西安市第九医院心血管内科,西安710054 [3]西安市第九医院超声医学科,西安710054

出　　处：《医学综述》2022年第7期1394-1398,共5页Medical Recapitulate

基　　金：国家自然科学基金(81673787);西安市科技计划项目(2019114613YX001SF036(3))。

摘　　要：心脏血栓性疾病及良恶性肿瘤是最常见的心脏占位性病变。在超声诊断相对落后时,心脏占位性病变的主要诊断方式为传统的心血管造影以及外科手术等,属于有创操作,具有一定的局限性,虽然传统的经胸或经食管超声心动图常被用来检出心脏占位性病变,但仍难以判断病变的性质。心肌声学造影是近年来发展起来的一项评价心肌灌注的新技术,该技术结合定性及定量的分析方法从毛细血管水平评价心肌灌注,为心腔内占位性病变的灌注情况提供参考依据,未来需进一步探索。Cardiac thrombotic disease and benign and malignant tumors are the most common cardiac space occupying lesions.When ultrasonic diagnosis is relatively backward,the main diagnostic methods of cardiac space occupying lesions are traditional angiocardiography and surgery,which are invasive operations and have some limitations.Although the traditional transthoracic or transesophageal echocardiography is often used to detect cardiac space occupying lesions,it is still difficult to judge the nature of the lesions.Myocardial contrast echocardiography is a new technique for evaluating myocardial perfusion developed in recent years,which combines qualitative and quantitative analysis methods to evaluate myocardial perfusion at capillary level,and provides a reference basis for the perfusion of intracardiac space-occupying lesions,and it needs to be further explored in the future.

关 键 词：心脏占位性病变 心脏血栓 心肌声学造影 

分 类 号：R541[医药卫生—心血管疾病] R445.1[医药卫生—内科学]