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对7例房间隔膨出瘤(ASA)进行超声心动图研究.结果发现,①M型:ASA膜随心动周期呈规律性摆动,但不直观;②二维超声心动图(2-DE):房间隔中间变薄(多位于卵圆窝),呈袋状膨向左或右房、或摆动于两房间,其幅度为7~19.5mm(11.5±4.0mm),基底径为21.6~34.0mm(27.2±3.8mm),胸骨旁四腔、剑下四腔、心尖四腔和心底短轴主动脉瓣水平面可探查到,以前两切面最好;③彩色多普勒:血流于右房内绕过膨出袋进入房室口,左房在ASA内呈回旋状,色彩暗淡。提示:2-DE是活体诊断ASA的最佳手段,其敏感性和特异性高,应为诊断ASA的金标准.
Echocardiographic studies of 7 cases of atrial septal alveolar tumor (ASA) were performed. The results showed that: ①M type: ASA membrane wobble regularly with the cardiac cycle, but not intuitive; ② 2-dimensional echocardiography (2-DE): thinning of the middle of the septum (mostly located in the oval fossa) Left or right room, or swing in two rooms, the range of 7 ~ 19.5mm (11.5 ± 4.0mm), the basal diameter of 21.6 ~ 34.0mm (27.2 ± 3.8mm), the sternum Next to the four cavities, four under the sword, apical four-chamber and the bottom of the heart aortic valve can be found in the horizontal plane, the best before the two sections; ③ color Doppler: blood flow in the right atrium around the bulging bag into the atrioventricular Mouth, left atrium in the ASA was convoluted, dark color. Tip: 2-DE is the best way to diagnose ASA in vivo. Its high sensitivity and specificity should be the gold standard for diagnosing ASA.