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目的 :研究真性与假性室间隔膜部瘤的临床和超声心动图 (UCG)表现 ,探讨其手术治疗指征及方法。方法 :回顾性总结 7例真性室间隔膜部瘤及 13例假性室间隔膜部瘤病人的临床表现和术前UCG特征 ,对比手术中所见 ,总结其特点 ,对修补方法进行评价。结果 :早期室间隔膜部瘤UCG确诊率为 72 % ,后期为 10 0 % ,均经手术治愈。结论 :提高对室间隔膜部瘤发病机制及病理变化的认识 ,有助于手术的成功。掌握其UCG特点对术前明确诊断有重要意义。
Objective: To investigate the clinical and echocardiographic (UCG) features of true and false ventricular septal mesothelioma, and to explore the indications and methods of surgical treatment. Methods: Retrospectively summarized the clinical manifestations and preoperative UCG characteristics of 7 patients with true ventricular septal tumor and 13 patients with pseudo-ventricular septal medullary tumor. The findings were compared with those seen during surgery. The characteristics were summarized and the repair method was evaluated. RESULTS: The UCG diagnosis rate of early ventricular septal mesothelioma was 72%, and it was 10% in the later period. All patients were cured by surgery. Conclusion :Improvement of the understanding of the pathogenesis and pathological changes of ventricular septal mesothelioma can contribute to the success of surgery. Mastering the characteristics of UCG has important significance for the preoperative diagnosis.