横纹肌瘤

超声诊断胎儿心脏横纹肌瘤及其与结节性硬化症的关系

Fetal Cardiac Rhabdomyoma Diagnosed by Ultrasonography and Its Relation with Tuberous Sclerosis

成年型横纹肌瘤之诊断，必需依据临床特性和病理组织检查；

Diagnosis of adult rhabdomyoma is based on clinical history and histopathological survey .

结果：ECG对38例粘液瘤，2例横纹肌瘤全部做出正确诊断。

Results : ECG had made correct diagnosis on 2 rhabdomyomas and 38 myxomas .

超声诊断小儿心脏横纹肌瘤2例

Ultrasonography of rhabdomyoma of heart in children : two cases report

结论胎儿心脏横纹肌瘤与结节性硬化症相关联。

Conclusions Fetal cardiac rhabdomyoma associated with tuberous sclerosis .

其中原发性6例（粘液瘤5例，横纹肌瘤1例）；

In the former , there were 5 cases of myxoma and 1 case of rhabdomyoma ;

其中横纹肌瘤5例，纤维瘤2例，脂肪瘤1例。

The pathological finding showed that 5 tumors were rhabdomyoma , 2 fibroma and 1 lipoma .

病理诊断心脏横纹肌瘤。

Pathology diagnosis proved cardiac rhabdomyoma .

目的提高对胎儿心脏横纹肌瘤的认识，评价超声心动图在胎儿心脏横纹肌瘤诊断中的应用价值。

Objective To stress the knowledge and to judge the value of echocardiography in fetal cardiac rhabdomyoma .

结果良性瘤39例，占95.1%，包括粘液瘤、纤维瘤、横纹肌瘤；

Results 39 ( 95.1 % ) tumors were benign , including myxoma , fibroma , and rhabdomyoma ;

先天性心脏横纹肌瘤

Congenital rhabdomyoma of heart

肾血管平滑肌脂肪瘤的继发性出血、心脏横纹肌瘤伴发的心脏增大，进行性肺脏损害都可以导致死亡。

Hemorrhage secondary to renal angiomyolipomas , cardiomyopathy associated with cardiac rhabdomyomas or progressive pulmonary impairment may also result in death .

结论婴幼儿和儿童心脏原发肿瘤多为黏液瘤，其次为横纹肌瘤，纤维瘤和脂肪瘤。

Conclusions Myxomas are the most common heart tumors seen in infancy and childhood , followed in frequency by rhabdomyomas , fibromas and lipomas .

目的探讨超声诊断胎儿心脏横纹肌瘤的可行性及胎儿心脏横纹肌瘤与家族性结节性硬化症的关系。

Objective To study the possibility of fetal cardiac rhabdomyoma diagnosed by ultrasonography , and the relationship between the fetal cardiac rhabdomyoma and family tuberous sclerosis .

术前超声10例诊断黏液瘤和1例怀疑横纹肌瘤与术后病理结果一致（11/19,57.9%），其余8例因超声缺乏经验，诊断为心脏占位病变性质待定或黏液瘤可能性大（8/19,42.1%）。

By using echocardiography 11 cases were diagnosed as myxomas and rhabdomyoma ( 11 / 19 , 57.9 % ) , 8 cases were diagnosed as space occupying lesions of the heart or myxoma ( 8 / 19 , 42.1 % ) .