CAJ | 학술논문

目的：探讨彩色多普勒超声心动图诊断心脏肿瘤的临床价值。方法：回顾分析87例心脏肿瘤患者的临床资料，对其发病部位、临床表现、超声心动图特征进行分析。结果：87例心脏肿瘤均获得病理证实：良性心脏肿瘤73例（83.9％），其中粘液瘤66例（90.4％），其他类型良性心脏肿瘤7例；恶性心脏肿瘤14例（16.1％）。超声心动图所见：粘液瘤示多发生于左房（58例），多数有蒂，活动度大；其他类型良性心脏肿瘤6例（86％）发生于心房或心室的心肌内，无蒂，回声较强；恶性肿瘤附着面广，可呈球状或菜花状，活动度差，无蒂，多数伴有心包积液。结论：超声心动图能动态地观察瘤体形态、大小、回声及血流动力学变化，诊断准确率高；心脏肿瘤以粘液瘤最为多见。
목적：탐토채색다보륵초성심동도진단심장종류적림상개치。방법：회고분석87례심장종류환자적림상자료，대기발병부위、림상표현、초성심동도특정진행분석。결과：87례심장종류균획득병리증실：량성심장종류73례（83.9％），기중점액류66례（90.4％），기타류형량성심장종류7례；악성심장종류14례（16.1％）。초성심동도소견：점액류시다발생우좌방（58례），다수유체，활동도대；기타류형량성심장종류6례（86％）발생우심방혹심실적심기내，무체，회성교강；악성종류부착면엄，가정구상혹채화상，활동도차，무체，다수반유심포적액。결론：초성심동도능동태지관찰류체형태、대소、회성급혈류동역학변화，진단준학솔고；심장종류이점액류최위다견。
Objective:To explore the diagnostic value of color Doppler echocardiography for cardiac tumors .Meth-ods:Clinical data of 87 patients with cardiac tumors were retrospectively analyzed ,including their diseased loca-tion ,clinical manif′estations and echocardiography feature .Results:All cardiac tumors obtain pathologic confirma-tion .There were 73 patients (83.9% ) with benign cardiac tumors ,including 66 patients (90.4% ) with myxoma and seven patients with other types ;there were 14 patients (16.1% ) with malignant cardiac tumors .Echocardiography indicated that myxoma was often located in left atrium (n=58) ,most cases possessed pedicell,its activity was large ;Other type benign cardiac tumors feature :The 6 case (86% ) were generated inside cardiac muscle without pedicell, its echo was more strong ;malignant tumors:its attachment surface was wide without pedicell,and it may show with globular or cauliflower ,and accompanied hydropericardium mostly .Conclusion:Echocardiography can dynamically observe the form ,size ,echo and hemodynamic changes of tumors ,its diagnostic accuracy is high .Myxoma is most frequent cardiac tumor .