摘要
[目的]评价导管射频消融术治疗慢性心房颤动后左室功能的变化.[方法]83例慢性房颤患者随机分配到药物治疗组或射频消融术治疗组.药物治疗组38例,平均年龄（53.2±8.9）岁,射频消融术治疗组45例,平均年龄（52.7±9.0）岁.分别于治疗前及治疗后第3、6个月随访,复查心电图、24 h动态心电图及超声心动图,评估患者的左房左室内径、左室射血分数、NYHA分级.[结果]射频消融组45例患者均实现肺静脉电隔离,在术后3个月的随访中,9例复发,单次消融成功率为 80%.9例复发患者中3例接受再次消融并成功,消融总成功率为86.7%.患者的左房内径、左室内径明显减小 左室射血分数显著增加 NYHA分级提高.[结论]环肺静脉线性消融治疗慢性心房颤动疗效好,术后患者左房、左室缩小,心功能增强.
[Objective]To evaluate the changes of left ventricular function after radiofrequency ablation for the treatment of chronic atrial fibrillation. [Methods]A total of 83 patients with chronic atrial fibrillation were randomly assigned to drug treatment group（the control group） or radiofrequeney ablation group. There were 38 patients aged 53.2±8. 9 years old in the drug treatment group. There were 45 patients aged 52. 7±9.0 years old in radiofrequency ablation group. The patients were followed up for 3 -6 months before and after treatment. Electrocardiogram（ECG） , 24h dynamic ECG（DCG） and echoeardiogram（UCG） were reexamined. The inner diameter of left atria and left ventricle, left ventricular ejection fraction（LVEF） and NYHA grading were evaluated. [Results] Circumferential pulmonary vein ablation succeeded in 45 patients in radiofrequency ablation group. Among them, 9 patients recurred during 3 month follow-up after operation. The achievement ratio for the first time was 80%. Of 9 relapse patients, 3 patients received ablation again and succeeded. The total achievement ratio was 86.7%. After patients received radiofrequency ablation, the inner diameter of left atria and left ventricle diminished, and I.VEF increased significantly, andthe grade of NYHA improved. [Con elusion] Circumferential pulmonary vein ablation for the treatment of chronic atrial fibrillation has good effect. After ablation, left atria and left ventricular of patients are diminished and cardiac function is improved.
出处
《医学临床研究》
CAS
2011年第2期244-246,共3页
Journal of Clinical Research
关键词
慢性病
心房颤动/治疗
导管消融术
chronic disease
atrial fibrillation/TH
catheter ablation
