摘要
目的:探讨儿童右心系统占位性病变的病理分型、超声心动图特征及临床表现。方法:回顾性分析首都医科大学附属北京儿童医院自2009年8月至2020年9月间,在我院行超声心动图检查发现右心系统占位性病变的患儿,对右心系统占位性病变的病理诊断、回声特点及临床表现进行总结分析。结果 :共54例患者,良性50例,其中横纹肌瘤占48.1%和血栓占25.9%,纤维瘤占9.3%,赘生物占9.3%。恶性4例,均为转移性肿瘤。超声特征表现为数目、部位、大小、回声、边界及活动度不同。右心系统占位性病变的主要临床表现为呼吸困难、心律失常、心力衰竭和抽搐发作。结论 :儿童右心系统占位性病变多为良性,其中以横纹肌瘤和血栓最常见,恶性多为转移性肿瘤。超声特征结合临床表现可为鉴别诊断提供可靠依据。
Objective: To investigate the pathological classification, echocardiographic features and clinical manifestations of space occupying lesions in the right heart system in children. Methods:Retrospective analysis was performed on children with right-heart space-occupying lesions found by echocardiography in Beijing Children’s Hospital, Capital Medical University from August 2009 to September 2020. The pathological diagnosis, echo characteristics and clinical manifestations of right-heart spaceoccupying lesions were summarized and analyzed. Results: A total of 54 patients, of which 50 were benign.48.1% were rhabdomyoma, 25.9% were thrombosis, 9.3% were fibroma, and 9.3% were vegetations. 4 cases were malignant, all of which were metastatic tumors. Ultrasound features are varied in number, location, size,echo, boundary and activity. The main clinical manifestations of space-occupying lesions in the right cardiac system are dyspnea, arrhythmia, heart failure and seizures. Conclusions: Rhabdomyoma and thrombosis were the most common lesions in children’s right heart system, and the malignant tumors were mostly metastatic tumors. The combination of ultrasonic features and clinical manifestations can provide reliable basis for differential diagnosis.
作者
刘国文
孙妍
马宁
张红菊
郑淋
马桂琴
李静雅
杨娇
薛丽
安玉琼
LIU Guowen;SUN Yan;MA Ning;ZHANG Hongju;ZHENG Lin;MA Guiqin;LI Jingya;YANG Jiao;XUE Li;AN Yuqiong(Department of Echocardiography,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)
出处
《心肺血管病杂志》
CAS
2022年第1期84-88,共5页
Journal of Cardiovascular and Pulmonary Diseases
基金
北京市自然科学基金项目(7192062)。
