Köhler E, Böcker K, Leuner C, Jungblut R, Schoppe W, Nessler L, Minami K, Loogen F
Z Kardiol. 1981 Aug;70(8):571-82.
12 patients with cardiac tumors (7 myxomas of the left, 2 of the right atrium, 2 ventricular, 2 intramural tumors and 1 epicardial cyst) were examined by M-Mode-(ME) and two-dimensional (2DE) echocardiography, computertomography (CT) and heart catheterization (HK) with angiography (A). The results were compared with intraoperative findings. There were no false negative results with 2DE and CT, but in 1 case the size of an intramural tumor was underestimated by 2DE. With ME all atrial myxomas were diagnosed, but 2 ventricular and 2 intramural tumors as well as the epicardial cyst were overlooked. Also with HK and A, the 2 intramural tumors and the epicardial cyst were not recognized well. The results indicate that the diagnosis of cardiac tumors can be made with great accuracy by noninvasive methods. The sensitivity of the single methods depends on the location of the tumors.
对12例心脏肿瘤患者（7例左心房黏液瘤、2例右心房黏液瘤、2例心室肿瘤、2例壁内肿瘤和1例心外膜囊肿）进行了M型（ME）和二维（2DE）超声心动图、计算机断层扫描（CT）以及心脏导管插入术（HK）联合血管造影（A）检查。将检查结果与术中所见进行比较。2DE和CT检查未出现假阴性结果，但有1例壁内肿瘤的大小被2DE低估。ME检查诊断出了所有心房黏液瘤，但漏诊了2例心室肿瘤、2例壁内肿瘤以及心外膜囊肿。HK联合A检查也未能很好地识别出2例壁内肿瘤和心外膜囊肿。结果表明，通过非侵入性方法可非常准确地诊断心脏肿瘤。单一方法的敏感性取决于肿瘤的位置。
