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目的:探讨原发心脏肿瘤超声心动图(ECG)特征。资料和方法: 100例原发心脏肿瘤。年龄 6~68(平均 42.5)岁。应用ECG检查后99例手术,1例尸解证实。结果:ECG对97例心腔内粘液瘤全部做出正确诊断,2例心肌纤维瘤和1例二尖瓣叶脂肪瘤提出相应部位占位病变。结论:心脏粘液瘤与心内膜界限明显,都有蒂与心内膜相连,瘤体以蒂为定点随心脏收缩舒张往返摆动,其它肿瘤与正常心肌无明显界限且无蒂;心房粘液瘤可致房室瓣狭窄和关闭不全,瘤体摘除后房室瓣功能即恢复正常;ECG是诊断原发心脏肿瘤简便、快捷、准确的检查方法。
Objective: To investigate the features of echocardiography (ECG) in primary cardiac tumors. Materials and Methods: 100 primary cardiac tumors. Age 6 to 68 (average 42.5) years old. After the application of ECG examination 99 cases of surgery, 1 case confirmed by autopsy. RESULTS: ECG correctly diagnosed 97 cases of intracardiac myxoma, 2 cases of myocardial fibroids and 1 case of mitral lobular lipoma raised the corresponding site-occupying lesions. Conclusion: There is a clear boundary between cardiac myxoma and endocardium, and both pedicle and endocardium are connected. The tumor is punctured with the pedicle as a fixed point. The other tumors have no obvious boundary with normal myocardium and there is no pedicle; the atrial myxoma can be Induced atrioventricular valve stenosis and insufficiency, the removal of the atrioventricular valve function is restored to normal; ECG is a simple, rapid and accurate method of diagnosis of primary cardiac tumors.