摘要
目的 :探讨原发性心脏肿瘤的超声心动图特征及其与病理学改变的关系。方法 :对149例心脏原发性肿瘤患者的超声心动图学改变和病理学等资料进行回顾性分析。结果 :(1)在原发性心脏肿瘤中 ,79 2 % (118/149)为良性肿瘤 ,20 8 % (31/149)为恶性肿瘤。黏液瘤为最常见的组织学类型 ,约占原发性心脏肿瘤的50 3 % (75/149) ;其次为脂肪瘤 ,约占14 8 % (22/149)。(2)在原发性心脏恶性肿瘤中 ,未分类肉瘤、血管性肉瘤和横纹肌肉瘤是常见的组织学类型 ,分别占22 6 % (7/31)、19 4 % (6/31)和19 4 % (6/31)。 (3)原发性心脏恶性肿瘤累及心包者(25 8 % ,8/31)明显高于良性心脏肿瘤累及心包者 (3 4 % ,4/118)。 (4)心脏超声心动图对原发性心脏肿瘤异常的检出率为95 3 % (142/149)。结论 :超声心动图是检出原发性心脏肿瘤的较敏感方法 。
Objective:To investigate the relationship between echocardiographic characteristics and its pathological changes in primary cardiac tumors.Methods:The echocardiography and pathological data of 149 patients with primary cardiac tumors were analyzed retrospectively.Results:(1)Of the 149 patients,118(79.2%)had primary benign tumors,whereas 31(20.8%)had primary malignant tumors.Myxoma(n=75)was the most common histological type and accounted for 50.3% in total cardiac tumors.Lipoma(n=22)was the second common type in benign tumors.(2)Unclassified sarcoma(n=7),angiosarcoma(n=6),and rhabdomyosarcoma(n=6)were the common histological type in primary malignant tumors.(3)The proportion of pericardium involved in malignant tumor was significantly higher than that in myxoma and non_myxoma(8/31,25.8%;4/118,3.4%).(4)The diagnostic abnormality had been found in 142(95.3%)cases with primary cardiac tumors by echocardiography.Conclusion:Echocardiography is a sensitive check_up method for cardiac primary tumor,and may help to identify the pathological diagnosis.
出处
《天津医药》
CAS
北大核心
2003年第2期70-73,共4页
Tianjin Medical Journal
关键词
心脏肿瘤
超声心动图
病理学
heart neoplasms echocardiography pathology
