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首页> 美国卫生研究院文献>Oncology Letters >Clinical value of prenatal echocardiographic examination in the diagnosis of fetal cardiac tumors
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Clinical value of prenatal echocardiographic examination in the diagnosis of fetal cardiac tumors

机译：产前超声心动图检查对胎儿心脏肿瘤的诊断价值

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摘要

The aim of the present study was to explore the clinical value of prenatal echocardiographic examination in the diagnosis of fetal cardiac tumors. In total, the cases of 8 fetuses with fetal cardiac tumors, which were identified by prenatal ultrasound examination in The First Affiliated Hospital of Nanchang University between January 2012 and January 2014, were retrospectively analyzed. The size, shape, location, activity and hemodynamic changes of the lesions were described in detail, and the patients were followed up. Out of the 8 identified cases of fetal cardiac tumors, 2 fetuses contained tumors only in the left ventricular cavity and 6 fetuses contained tumors of the left and right ventricular cavities, interventricular septum and apex of the heart. Overall, 5 of the 8 female patients requested termination of the pregnancy and labor was induced. The fetuses were pathologically confirmed to possess rhabdomyoma. In addition, 1 patient was followed-up for 5 weeks, and the tumor in the fetal heart cavity was found to have enlarged and developed in multiple regions when follow-up was performed. The patient then requested termination of the pregnancy and labor was induced. The fetus was pathologically confirmed to possess rhabdomyoma. The remaining 2 patients insisted on continuation of the pregnancy and the fetuses were followed up during gestation and subsequent to birth by echocardiographic examination. Prenatal echocardiography may precisely position and diagnose occupying lesions of the fetal heart, which is of considerable value in clinical decision making and instruction for treatment.
机译：本研究的目的是探讨产前超声心动图检查在胎儿心脏肿瘤诊断中的临床价值。回顾性分析2012年1月至2014年1月在南昌大学第一附属医院经产前超声检查确诊的8例胎儿心脏肿瘤的病例。详细描述了病变的大小，形状，位置，活动和血流动力学变化，并对患者进行了随访。在确定的8例胎儿心脏肿瘤病例中，有2例胎儿仅在左心室腔内有肿瘤，6例胎儿有左，右心室腔，室间隔和心尖部肿瘤。总体而言，在8名女性患者中，有5名要求终止妊娠并引产。病理证实胎儿患有横纹肌瘤。另外，对1例患者进行了5周的随访，进行随访时发现胎儿心脏腔内的肿瘤在多个区域扩大并发展。然后患者要求终止妊娠并引产。病理证实胎儿患有横纹肌瘤。其余2例患者坚持继续妊娠，并在妊娠期间和分娩后对胎儿进行了超声心动图检查。产前超声心动图可以精确定位和诊断胎儿心脏的占位性病变，这在临床决策和治疗指导中具有重要价值。

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