MRI在原发性心脏肿瘤诊断中临床价值研究.docVIP

MRI在原发性心脏肿瘤诊断中临床价值研究 　　[摘要] 目的 探讨核磁共振在原发性心脏肿瘤诊断中的临床应用价值。 方法 整群选取并回顾性分析了2014年1月―2015年2月经该院病理学检查证实的原发性心脏肿瘤患者36例。所有患者均经过超声心动图以及核磁共振检查。通过对比病理学诊断结果，比较超声心动图和核磁共振成像的准确率。 结果 临床病理学诊断原发性心脏肿瘤36例，肌壁性肿瘤13例，心腔内肿瘤20例，巨大脂肪瘤1例，心包恶性问皮瘤2例。超声心动图诊断准确率为72.2%（26/36）；MRI诊断准确率为100%（36/36），差异有统计学意义（χ2=11.617，P0.05）。 结论 MRI诊断原发性心脏肿瘤较超声心动图有较高的准确性，值得临床推广。 　　[关键词] 原发性心脏肿瘤；超声心动图；MRI 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0173-02 　　Clinical Value Research on MRI in Diagnosis of Primary Cardiac Tumor 　　ZHANG Hai-feng1， LI Yong-li2 　　1.Radiology Department， Zhengzhou Central Hospital Affiliated to Zhengzhou University， Zhengzhou，Henan Province， 450000 China； 2.Radiology Department， Hami District Central Hospital， Hami，Xinjiang， 839000 China 　　[Abstract] Objective To discuss the clinical application value of MRI in diagnosis of primary cardiac tumor. Methods 36 cases of patients with primary cardiac tumor confirmed by pathological examination in our hospital from January 2014 to February 2015 were selected as the research object， all patients were examined by ultrasonic cardiogram and nuclear magnetic resonance， the accuracy rate of ultrasonic cardiogram and nuclear magnetic resonance imaging was compared by comparing pathological diagnosis results. Results The clinical pathology diagnosis showed that primary cardiac tumor occurred to 36 cases， muscular wall tumor occurred to 13 cases， tumor in cardiac chamber？occurred to 20 cases， giant lipoma occurred to 1 case， pericardium malignant mesothelioma occurred to 2 cases， there was an obvious difference in the diagnostic accuracy rate between ultrasonic cardiogram and MRI， 72.2%（26/36）vs 100%（36/36），（χ2=11.617，P0.05）. Conclusion The accuracy of MRI in diagnosis of primary cardiac tumor is higher than that of ultrasonic cardiogram， and it is worth clinical promotion. 　　[Key words] Primary cardiac tumor； Ultrasonic cardiogram； MRI 　　原发性心脏肿瘤发病率极低，据文献报道其临床发病率低于0.1%[1]。其主要临床症状与二尖瓣狭窄类似，因而原发性心脏肿瘤临床症状无特异性[2]。心脏肿瘤严重危害心脏泵血，甚至造成患者死亡[3]。早期诊断治疗