心脏超声造影鉴别右心占位病变的临床应用价值
Clinical Value of Contrast Echocardiography in Distinguishing Right Heart System Space-occupying Lesions
许崇俊 1余承芳 1沈红梅 1鲁娜 1成宪武2
作者信息
- 1. 延边大学附属医院 超声科,延吉 133000
- 2. 延边大学附属医院 心内科,延吉 133000
- 折叠
摘要
目的:探讨心脏超声造影鉴别右心占位病变的临床应用价值.方法:回顾性分析延边大学附属医院 2019 年 1 月至 2023 年 1 月期间 39 例经手术病理及临床治疗证实的右心占位病变患者的影像资料和临床资料.总结右心占位病变的心脏超声造影特征,并比较心脏超声造影与心脏磁共振成像(CMR)对右心占位病变的诊断效能.结果:39 例患者的右心占位病变中,12 例(30.8％)为血栓、赘生物,6 例(15.4％)为良性肿瘤,21 例(53.8％)为恶性肿瘤,其中血栓、赘生物、良性肿瘤、恶性肿瘤位于右心房的患者分别有 8、4、4、17 例.心脏超声造影诊断血栓、赘生物 12 例(30.8％),良性肿瘤 5 例(12.8％),恶性肿瘤 22 例(56.4％);CMR诊断血栓、赘生物 18 例(46.2％),良性肿瘤 5 例(12.8％),恶性肿瘤 16 例(41.0％).心脏超声造影诊断与临床诊断的Kappa系数为 0.956(P<0.001),CMR与临床诊断的Kappa系数为 0.754(P<0.001).结论:心脏超声造影可实时动态观察病变组织内血管化程度,能有效鉴别右心占位病变性质.
Abstract
Objectives:To investigate the clinical value of contrast echocardiography in the detection of right heart space-occupying lesions.Methods:The imaging and clinical data of 39 patients with right heart space-occupying lesions confirmed by surgery,pathology and clinical treatment in Yanbian University Hospital from January 2019 to January 2023 were retrospectively analyzed.All patients underwent contrast echocardiography and cardiac magnetic resonance(CMR)examinations.The contrast echocardiography features of right heart neoplastic from non-neoplastic occupying lesions were summarized.The diagnostic efficacy of contrast echocardiography and CMR in right heart space-occupying lesions was compared.Results:Among the 39 patients,12 patients(30.8%)were confirmed as thrombus and vegetation,6 patients(15.4%)as benign tumors and 21 patients(53.8%)as malignant tumors.There were 8,4,4 and 17 patients of thrombus,vegetation,benign tumor and malignant tumors located in right atrium,respectively.Contrast echocardiography was used to diagnose thrombus and vegetation in 12 patients(30.8%),benign tumors in 5 patients(12.8%),malignant tumors in 22 patients(56.4%).CMR was used to diagnose thrombus and vegetation in 18 patients(46.2%),benign tumors in 5 patients(12.8%),malignant tumors in 16 patients(41.0%).The Kappa coefficient between contrast echocardiography and clinical diagnosis was 0.956(P<0.001).The Kappa coefficient between CMR and clinical diagnosis was 0.754(P<0.001).Conclusions:Contrast echocardiography can dynamically observe the degree of vascularization in the lesion tissue in real-time,accurately distinguishing the nature of the right heart space-occupying lesions.
关键词
心脏超声造影/右心系统/占位病变Key words
contrast echocardiography/right heart system/occupying lesions引用本文复制引用
基金项目
吉林省教育厅科学技术研究项目(JJKH20240697KJ)
延边大学应用基础项目(ydkj202233)
出版年
2024
NETL
NSTL
万方数据