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目的 评价超声心动图 (UCG)对心脏粘液瘤的诊断价值 ,并分析误漏诊的原因。方法 对经手术及病理证实的 12例心脏粘液瘤患者的 UCG资料进行分析。结果 所有病例均由 UCG首先发现和诊断。左房单发粘液瘤7例 ,多发 1例 ,右房单发 1例 ,左右房均多发 2例 ,右室单发 1例 ;UCG误诊 1例 ,将右房粘液瘤误诊为右室粘液瘤 ;漏诊 2例 ,将多个心腔多发的粘液瘤漏诊为多个心腔单发的粘液瘤。结论 超声心动图对心脏粘液瘤具有独特的诊断价值及优越性 ,但可能误漏诊情况应引起超声医师的重视
Objective To evaluate the value of echocardiography (UCG) in the diagnosis of cardiac myxoma and to analyze the causes of missed diagnosis. Methods UCG data of 12 patients with cardiac myxoma confirmed by surgery and pathology were analyzed. Results All cases were first discovered and diagnosed by UCG. Left atrial myxoma in 7 cases, multiple in 1 case, right atrium in 1 case, multiple cases in both left and right rooms, and right ventricle in 1 case; UCG misdiagnosis in 1 case; misdiagnosis of right atrial myxoma as right ventricular myxoma Missed diagnosis of 2 cases, multiple cardiac chamber myxoma multiple missed diagnosis of multiple cardiac chambers of a single myxoma. Conclusion Echocardiography has unique diagnostic value and superiority for cardiac myxoma, but it may be misunderstood that the ultrasound physician should pay attention to it.