心内肿物的二维超声心动图检查：回声模式与组织病理学的相关性

Two-dimensional echocardiography of intracardiac masses: echo pattern-histopathology correlation.

作者信息

Bhandari A K, Nanda N C, Hicks D G

出版信息

Ultrasound Med Biol. 1982;8(6):673-80. doi: 10.1016/0301-5629(82)90124-7.

Abstract

Two-dimensional echo patterns (EP) of 21 pathologically confirmed intra-cardiac masses (10 tumors, 6 thrombi and 5 vegetations) were correlated with histopathology. Three types of echo patterns were defined. Five tumors and 3 thrombi demonstrated a fine, speckled and uniform appearance (type AEP) and none had any hemorrhages or calcification on pathological examination. Three left atrial masses showed large and discrete echolucent areas (type B EP) and histopathological correlation revealed large hemorrhages in the tumors and a large area of clot lysis in the thrombus. Three tumors, 2 thrombi and 5 vegetations revealed either localized areas of bright echoes or appeared uniformly bright (type C EP) and on pathological examination, all had calcification and/or fibrosis. Two-dimensional echo patterns are useful in delineating some of the structural components of intracardiac masses.

摘要

对21例经病理证实的心脏内肿物（10例肿瘤、6例血栓和5例赘生物）的二维超声心动图模式（EP）与组织病理学进行了相关性分析。定义了三种类型的超声心动图模式。5例肿瘤和3例血栓表现为细微、斑点状且均匀的外观（A型EP），病理检查均未发现出血或钙化。3例左心房肿物表现为大的、离散的无回声区（B型EP），组织病理学相关性显示肿瘤内有大出血，血栓内有大面积的血栓溶解。3例肿瘤、2例血栓和5例赘生物表现为局部明亮回声区或整体呈均匀明亮（C型EP），病理检查发现均有钙化和/或纤维化。二维超声心动图模式有助于描绘心脏内肿物的一些结构成分。