| 摘要: |
| 目的 探讨心脏淋巴瘤患者的心脏超声特征性表现,为患者早诊断、早治疗提供重要信息。资料与方法 回顾分析我院2016年1月至2022年5月期间确诊并有累及心脏的21例淋巴瘤患者的心脏超声图像及其临床诊治资料。结果 心脏淋巴瘤最常累及右房、右室及心包；弥漫大B细胞型是最常见的病理类型；临床表现无特异性；最常见的心电图异常表现为窦性心动过速；超声表现为：病灶多较大,累及范围广,常多个部位同时受累,内部回声以低回声或等回声为主,形态多不规则,与正常组织分界不清,活动度小,可导致瓣膜梗阻及合并不同程度心包积液,沿心外膜表面延伸并浸润心房或心室壁、瓣膜可被浸润但不受侵袭破坏、以及血管漂浮征是心脏淋巴瘤的超声特征。结论 心脏淋巴瘤患者临床表现缺乏特异性,其心脏超声表现具有一定特征性。超声心动图检查在患者早期诊断、治疗过程及缓解后的随访中可动态观察心脏肿瘤变化,为临床提供重要信息。 |
| 关键词: 心脏淋巴瘤 超声心动图 血管漂浮征 超声特征 |
| DOI： |
| 投稿时间：2022-06-14修订日期：2022-07-01 |
| 基金项目:广州市科技计划项目(201904010448) |
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| Echocardiographic characteristics and clinical data analysis of cardiac lymphoma |
| XU Ruixue,CHEN Oudi,MA Qingyan,LIN Qiongwen,FEI Hongwen |
| (Department of Cardiology,Guangdong Cardiovascular Institute,Guangdong Provincial People''s Hospital,Guangdong Academy of Medical Sciences,Guangzhou;Department of Cardiology,Guangdong Cardiovascular Institute,Guangdong Provincial People''s Hospital,Guangdong Academy of Medical Sciences,Guangzhou,510010) |
| Abstract: |
| Objective To study the echocardiographic characteristics in patients with cardiac lymphoma, so as to provide important information for early diagnosis and treatments. Materials and Methods The echocardiographic images and clinical data of 21 patients with cardiac lymphoma in our hospital from January 2016 to May 2022 were retrospectively analyzed. Results The most common site of cardiac lymphoma that involved were the right atrium and right ventricle; and diffuse large B cell type was the most common pathological type; the clinical manifestations were shortness of breath after exercise and chest tightness; the most common ECG abnormalities was sinus tachycardia; echocardiographic manifestations: most of the lesions were large, involving a wide range, often involving multiple parts at the same time, the internal echo was mainly hypoechoic or isoechoic, the shapes were irregular, the boundary was unclear, and the mobility was small, which could lead to valve obstruction and pericardial effusion. Extending along the epicardial surface and infiltrating into the atrium or ventricular wall, valves could be infiltrated but not invaded or destroyed, as well as vascular floating signs were the echocardiographic features of cardiac lymphoma. Conclusion The patients with cardiac lymphoma have no typical symptom, but their echocardiographic findings have certain characteristics. Echocardiography can dynamically observe the changes of cardiac tumors in early diagnosis, during treatment and follow-up after remission, which can provide important information. |
| Key words: Cardiac lymphoma Echocardiography Vascular floating sign Ultrasonic characteristics |
