摘要
目的 分析应用超声心动图检查并经手术、病理确诊的肉瘤伴心内转移患者的声像图,探讨其特征及随时间变化特点,以期提高该病的超声心动图诊断水平.方法 回顾性分析2010年11月至2018年1月上海新华医院心胸外科诊断肉瘤右心转移患者5例,重点关注与心脏转移瘤栓相关的探查切面及声像图特征、瘤栓随时间变化特征.结果 所有瘤栓均从上腔静脉人右心房,回声呈絮状或者条索状;与心内膜面分界清楚,没有造成瓣膜穿孔或者狭窄.随时间变化,瘤栓远端延着上腔静脉-右心房-三尖瓣-右心室流出道-肺动脉途径逐渐推进;回声从中等偏高的絮状回声变为较强的条索状回声,活动度逐渐减低.结论 肉瘤心内转移具有明确的声像图特征,超声心动图对此病的诊断分期、治疗方案选择具有很大帮助.
Objective To explore the diagnostic value of the echocardiography for the metastatic sarcoma to heart.Methods 5 patients were analyzed retrospectively in the Department of Cardiothoracic Surgery of Shanghai Xinhua Hospital who were confirmed metastatic sarcoma to heart from November 2011 to January 2018. Results All the tumor embolus entered into the right atrium through superior vena tara.The ultrasonographic were cotton-shaped or strip shaped,well-defined to the endocardial surface and without valvular perforation or stenosis.They went forward along superior vena cava-right atrium-tricuspid valve-right ventricular outflow tractpulmonary artery progressindy.The echo intensity turned from cotton-shaped to strip shaped and the range of motion reduced gradually.Conclusion There are clear and definite characteristics of echocardiography to metastasis sarcoma to heart.Eechocardiogram could be very helpful for the diagnosis,staging and the choosing of treatment options to this disease.
作者
张丽
徐振
ZHANG Li;XU Zhen(Department of Cardiothoracic Surgery,Xinhua hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)
出处
《中国心血管病研究》
CAS
2019年第2期170-172,共3页
Chinese Journal of Cardiovascular Research
关键词
超声心动图
肉瘤
心内转移
Echocardiogram
Sarcoma
Metastasis to heart
