论文部分内容阅读
目的：分析原发性心脏心包肿瘤的ＭＲＩ所见，评价ＭＲＩ对本病诊断的意义。材料和方法：１４例原发性心脏心包肿瘤均经ＭＲ检查，男９例，女５例。年龄６个月～６４岁，平均４４岁，其中儿童２例。１４例中８例经手术病理证实６例经ＭＲ和超声诊断。所有病例ＭＲ扫描前均有Ｘ线平片检查。结果：１４例心脏心包肿瘤中心腔内肿瘤５例，证实为粘液瘤，４例位于左房，１例位于左室。肌壁肿瘤６例，１例证实为淋巴管瘤。心包肿瘤３例，２例证实为脂肪瘤和间皮肉瘤。结论：ＭＲ对心脏心包肿瘤具有诊断价值，更适于全面观察肿瘤对心肌的浸润和向腔内外扩散及其与心旁肿瘤的鉴别
Objective: To analyze MRI findings of primary cardiac pericardial tumors and evaluate the significance of MRI in the diagnosis of this disease. Materials and Methods: Fourteen patients with primary cardiac pericardial tumors were examined by MR, including 9 males and 5 females. Aged 6 months to 64 years old, average 44 years old, of which 2 children. Among the 14 cases, 8 cases were confirmed by operation and pathology and 6 cases were diagnosed by MR and ultrasonography. All cases before the MR scan X-ray examination. Results: Fourteen cases of cardiac pericardial tumors had 5 cases of intracavitary tumors, which were confirmed as myxoma, 4 in the left atrium and 1 in the left ventricle. Six cases of muscular wall tumors, 1 case confirmed as lymphangioma. Pericardial tumors in 3 cases, 2 cases confirmed as lipoma and mesothelioma. Conclusion: MR has diagnostic value for cardiac pericardial tumors, and is more suitable for comprehensive observation of tumor infiltration into the myocardium and its spread to the inside and outside of the cavity and its identification with the heart of the heart