Application of hand-and-foot teaching method in ultrasonic diagnosis and differential diagnosis of cardiac myxoma

doi:10.3877/cma.j.issn.1674-0785.2025.01.012

Abstract

Abstract:

Myxoma is one of the most common primary heart tumors and is the focus of echocardiography teaching. Because it is difficult to find a suitable myxoma model in traditional teaching models or porcine heart dissection， and the treatment methods for myxoma and thrombosis are completely different， it is difficult to teach the diagnosis and differential diagnosis of myxoma. The hand-and-foot teaching method is to apply simple body language and props to the clinical teaching process， so that medical knowledge can be simplified and concrete， which can stimulate students' interest and improve teaching effect.This paper reports our experience in ultrasonic teaching using the hand-and-foot teaching method to help improve the diagnosis and differential diagnosis of myxoma.

Key words: Myxoma, Hand-and-foot teaching method, Echocardiography

Haiyue Zhao, Xiaoshan Zhang, Yilu Shi, Minjie Zhang, Jie Zhao, Yaxi Wang. Application of hand-and-foot teaching method in ultrasonic diagnosis and differential diagnosis of cardiac myxoma[J]. Chinese Journal of Clinicians(Electronic Edition), 2025, 19(01): 80-84.

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References 15

1	甄志龙，李强，刘瑞，等. “手足并用整体教学法”在骨科临床教学中的初步探索［J］. 内蒙古医科大学学报， 2017， 39（S1）： 44-46.
2	贺斌，赵建民，刘瑞，等. “手足并用”形象教学在股骨颈骨折理论授课中的应用［J］. 中华医学教育探索杂志， 2023， 22（9）： 1324-1329.
3	He B， Li Q， Zhao J， et al. The innovation and practice of "Hand as Foot teaching method" in the teaching of motion system injury course［J］. BMC Med Educ， 2021， 21（1）： 553.
4	李强，赵建民，刘瑞，等. 手足并用形象教学方法在骨科学理论教学中的应用［J］. 中华医学教育杂志， 2022， 42（6）： 523-526.
5	党赢，张锁，师建平，等. “手足并用教学法”在中医舌诊脉诊实训课程中的应用［J］. 时珍国医国药， 2022， 33（5）： 1223-1224.
6	杨柳，刘晓宇，郝甜. 手足并用教学法在急性心肌梗死教学方面的临床应用体会［J］. 内蒙古医科大学学报， 2021， 43（S2）： 55-57.
7	施依璐，张小杉，王雅皙，等. “手足并用”教学在卵圆孔未闭超声教学中的应用［J］. 中华医学教育探索杂志， 2022， 21（11）： 1500-1503.
8	Griborio-Guzman AG， Aseyev OI， Shah H， et al. Cardiac myxomas：clinical presentation， diagnosis and management ［J］. Heart， 2022，108（11）： 827-833.
9	Fabijanic D， Carević V， Bečić T， et al. Cardiac myxoma： benign， but deadly disease ［J］. Med Ultrason， 2022， 24（2）： 248-249.
10	Vongbunyong K， Sinfield S， Premyodhin N， et al. Left atrial myxoma：an unusual cause of pre-syncope and symptomatic bradycardia ［J］.BMC Cardiovasc Disord， 2022， 22（1）： 576.
11	Kesav P、John S、Joshi P， et al. Cardiac myxoma embolization causing ischemic stroke and multiple partially thrombosed cerebral aneurysms ［J］. Stroke， 2021， 52（1）： e10-e4.
12	Ho KKF， Barsoum R， Shepherd B， et al. Bilateral acute lower limb ischemia secondary to complete embolization of cardiac myxoma ［J］.J Vasc Surg， 2020， 71（5）： 1759-61.
13	Oktaviono YH， Saputra PBT， Arnindita JN， et al. Clinical characteristics and surgical outcomes of cardiac myxoma： A meta-analysis of worldwide experience ［J］. Eur J Surg Oncol， 2024， 50（2）： 107940.
14	Samanidis G， Khoury M， Balanika M， et al. Current challenges in the diagnosis and treatment of cardiac myxoma ［J］. Kardiol Pol， 2020，78（4）： 269-277.
15	张敏，解美玲，刘微，等. 非瓣膜性心房颤动患者左心耳结构复杂性与其血栓形成的相关性研究［J/OL］. 中华临床医师杂志（电子版）， 2021， 15（8）： 605-609.

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