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目的探讨超声诊断胎儿心脏横纹肌瘤的价值及临床意义。方法对2004年6月～2009年12月经我院行常规及系统产科超声诊断为胎儿心脏横纹肌瘤的4例孕妇进行回顾性分析。结果超声检查发现3例胎儿心脏内多发、大小不一强回声光团,附着于室间隔、左右心室乳头肌及腱索,边界清晰,无活动性,1例为左室内近二尖瓣环处单发强回声光团,彩色多普勒均未探及明显血流动力学异常,M型均未提示心功能明显改变。结论超声检查是产前诊断胎儿心脏横纹肌瘤必不可少的检查手段。
Objective To investigate the value and clinical significance of ultrasound in the diagnosis of fetal cardiac rhabdomyoma. Methods A retrospective analysis was performed on 4 pregnant women with fetal rhabdomyosarcoma diagnosed by routine and systematic obstetric ultrasound in our hospital from June 2004 to December 2009. Results Ultrasound examination revealed three cases of multiple epidural light masses in the fetal heart, attached to the interventricular septum, left ventricular papillary muscle and chordae tendons. The border was clear and inactive. One case was left ventricular near mitral annulus Department of single hyperechoic light, color Doppler ultrasound were not detected and significant hemodynamic abnormalities, M-type did not prompt significant changes in cardiac function. Conclusion Ultrasound examination is an essential prenatal diagnosis of fetal rhabdomyoma.