经食管超声心动图在心脏占位性病变中的应用价值

发布时间：2018-06-22 09:44

本文选题：心脏肿瘤 + 超声心动描记术　；参考：《中国临床医学影像杂志》2017年06期

【摘要】：目的 :探讨二维经食管超声心动图(2D TEE)及实时三维经食管超声心动图(RT3D TEE)对心脏占位性病变的诊断价值。方法:对比研究26例心脏占位性病变的二维经胸超声心动图(2D TTE)、2D TEE及RT3D TEE,并与手术结果做对比。结果:2D TEE对心脏占位诊断率(76.9%)明显高于2D TTE诊断率(30.8%),2D TEE诊断心脏良、恶性肿瘤的敏感性(100%)及特异性(100%)高于2D TTE诊断敏感性(86.9%)、特异性(60.0%),2D TTE、2D TEE及RT3D TEE所测占位大小与手术标本大小比较,差异均无统计学意义。而相关性比较,2D TEE相关性最好。结论:2D TEE较2D TTE能更清晰显示心脏占位的大小、形态、位置、毗邻关系等,在鉴别心脏肿瘤性质及辅助选择手术方式方面有更好的应用价值。
[Abstract]:Objective: to evaluate the diagnostic value of two-dimensional transesophageal echocardiography (2D tee) and real time three dimensional transesophageal echocardiography (RT3D tee) in the diagnosis of cardiac space-occupying lesions. Methods: two dimensional transthoracic echocardiography (2D TTE) 2D tee and RT3D TEE were compared in 26 patients with cardiac space-occupying lesions. Results the diagnostic rate of 2 D tee was significantly higher than that of 2 D TTE (76 9%), and 2D TEE was significantly higher than that of 2 D TTE (38 8%). The sensitivity and specificity of malignant tumors (100%) and specificity (100%) were higher than that of 2D TTE (86.9%). The correlation was better than 2D tee. Conclusion compared with 2D TTE, the size, shape, location and adjoining relationship of cardiac mass can be more clearly displayed by 2 D TEE than 2 D TTE. It has a better application value in distinguishing the nature of cardiac tumor and auxiliary choice of surgical method.
【作者单位】：湖北医药学院附属襄阳市第一人民医院超声科;重庆第三军医大学新桥医院超声科;
【分类号】：R540.45;R732.1

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