超声心动图诊断右心系统占位性病变的应用

SU Zhihong1; HUANG Shu1; YANG Xiaocen1; LI Qihong1; HUANG Shunfa2*

doi:10.16098/j.issn.0529-1356.2026.01.010

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解剖学报 ›› 2026, Vol. 57 ›› Issue (1) : 64-70. DOI: 10.16098/j.issn.0529-1356.2026.01.010

机器人与手术导航专栏

超声心动图诊断右心系统占位性病变的应用

苏志虹¹黄枢¹杨晓岑¹李琪虹¹黄顺发^2*

作者信息 +

Application of echocardiography in diagnosing right heart occupying lesions

SU Zhi-hong¹, HUANG Shu¹, YANG Xiao-cen¹, LI Qi-hong¹, HUANG Shun-fa^2*

Author information +

文章历史 +

摘要

目的探讨超声心动图（UCG）对右心系统占位性病变（RHOL）的诊断价值。方法回顾性分析76例经病理证实的RHOL患者的超声心动图资料，对比超声诊断与病理结果，计算诊断准确率。结果76例RHOL中，恶性肿瘤最为常见（40/76, 52.6%），UCG诊断准确率为92.5%（37/40）。其余病变包括黏液瘤（14/76）、血栓（12/76）等，UCG对黏液瘤、血栓及下腔静脉瓣残留钙化的诊断准确率均较高（83.3%~100%），但对脂肪瘤和静脉内平滑肌瘤病（IVL）的诊断准确率较低（33.3%和50%）。此外，62.5%（25/40）的恶性占位并发心包积液。结论超声心动图能有效诊断右心系统占位性病变，对恶性肿瘤、血栓及黏液瘤具有很高的诊断价值，其中并发心包积液是提示恶性病变的重要征象。

Abstract

Objective To evaluate the diagnostic value of echocardiography for right heart occupying lesions (RHOL). MethodsA retrospective analysis was conducted on echocardiographic data from 76 patients with pathologically confirmed RHOL. The echocardiographic diagnoses were compared with pathological findings to calculate the diagnostic accuracy. ResultsAmong the 76 RHOL cases, malignant tumors were the most common (40/76, 52.6%), with an echocardiographic diagnostic accuracy of 92.5% (37/40). Other identified lesions included myxomas (14/76) and thrombi (12/76). Echocardiography demonstrated high diagnostic accuracy for myxomas, thrombi, and residual calcification of the eustachian valve (83.3%-100%). In contrast, the diagnostic accuracy was lower for lipomas and intravenous leiomyomatosis (33.3% and 50%, respectively). Furthermore, pericardial effusion was present in 62.5% (25/40) of the malignant cases. ConclusionEchocardiography is an effective tool for diagnosing RHOL, showing high diagnostic value for malignant tumors, thrombi, and myxomas. The presence of concurrent pericardial effusion serves as a significant indicator of malignant lesions.

导出引用

苏志虹黄枢杨晓岑李琪虹黄顺发. 超声心动图诊断右心系统占位性病变的应用[J]. 解剖学报. 2026, 57(1): 64-70 https://doi.org/10.16098/j.issn.0529-1356.2026.01.010

SU Zhi-hong, HUANG Shu, YANG Xiao-cen, LI Qi-hong, HUANG Shun-fa. Application of echocardiography in diagnosing right heart occupying lesions[J]. Acta Anatomica Sinica. 2026, 57(1): 64-70 https://doi.org/10.16098/j.issn.0529-1356.2026.01.010

中图分类号： R322 R445

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