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心肌声学造影与经食管超声心动图评价心脏占位性病变。

Evaluation of Cardiac Space-Occupying Lesions by Myocardial Contrast Echocardiography and Transesophageal Echocardiography.

机构信息

Department of Cardiovascular Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong, China.

出版信息

J Healthc Eng. 2022 Jan 25;2022:2066033. doi: 10.1155/2022/2066033. eCollection 2022.

Abstract

Heart space-occupying lesions are a disease that occurs frequently in clinical setting, and therefore, it is important to diagnose and treat this type of pathologies properly. Angiographic echocardiography and transesophageal sonogram are widely used for clinical diagnosis. Their application provides a guarantee for the diagnosis of cardiac space-occupying lesions. In this paper, the application of cardiac contrast echocardiography and transesophageal echocardiography in cardiac space-occupying lesions was studied. Prediction of cardiac lesions can accurately determine the nature of cardiac occupancies and provide a basis for clinical diagnosis and management judgments. The results of pathological analysis and experimental comparison showed that myocardial contrast echocardiography can accurately distinguish tumor and thrombus and make contribution to patients taking appropriate medical measures. At the same time, it can compare conventional transthoracic echocardiography and transesophageal echocardiography. The results showed that TEE could clearly show the cardiac lesions. The experimental data of 76.9% confirmed cases showed that the diagnostic accuracy is greatly improved. TEE can also clearly show small thrombus that TTE cannot, in which 2DTEE can clearly show the boundary between the space-occupying and surrounding tissues, and whether there is a clear boundary between the space-occupying and surrounding tissues is an important distinguishing point of benign and malignant tumors. In addition, the TEE probe can also be used for large angle imaging and multiangle rotation, so as to determine the tumor boundary and the spatial position relationship between the tumor and the surrounding tissue. All in all, myocardial contrast echocardiography and transesophageal echocardiography have better clinical application effect on cardiac space-occupying lesions.

摘要

心脏占位性病变是临床常见疾病,因此,正确诊断和治疗此类疾病非常重要。血管内超声心动图和经食管超声心动图广泛应用于临床诊断。它们的应用为心脏占位性病变的诊断提供了保障。本文研究了心脏对比超声心动图和经食管超声心动图在心脏占位性病变中的应用。心脏病变的预测可以准确判断心脏占位的性质,为临床诊断和治疗判断提供依据。病理分析和实验对比结果表明,心肌对比超声心动图能够准确区分肿瘤和血栓,使患者能够采取适当的医疗措施。同时,它可以与常规经胸超声心动图和经食管超声心动图进行比较。结果表明,TEE 可以清晰地显示心脏病变。76.9%的确诊病例的实验数据表明,诊断准确率大大提高。TEE 还可以清晰地显示 TTE 无法显示的小血栓,二维 TEE 可以清晰地显示占位与周围组织的边界,占位与周围组织之间是否有明确的边界是良恶性肿瘤的重要鉴别点。此外,TEE 探头还可以进行大角度成像和多角度旋转,从而确定肿瘤边界和肿瘤与周围组织的空间位置关系。总之,心肌对比超声心动图和经食管超声心动图对心脏占位性病变具有较好的临床应用效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d3/8808222/2478c80ed6f7/JHE2022-2066033.001.jpg

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