摘要
目的探讨经导管消融治疗心房颤动的有效性和安全性。方法对我科自1999年开始行导管消融治疗的80例房颤病例资料进行回顾性分析,比较肺静脉节段性消融术(SPVA)20例和肺静脉环形消融术(CPVA)60例两组的操作相关指标安全性及临床效果。结果显示80例病例中两组的基线资料和平均操作时间差异无统计学意义。但SPVA组的平均X线透视时间长(P<0.05),平均操作时间相似(P>0.05)。术后随访6～12月时,总成功率73.3%,消融过程中出现严重并发症(急性心包填塞)1例,经抢救存活。结论在条件成熟的导管室,经导管消融阵发性房颤是可行的,对大部分患者有效。
Objective To discuss the effectiveness and safety of radiofrequency catheter ablation in treating patients with atrial fibrillation.Methods A retrospective analysis was made to the clinical data of 80 cases with atrial fibrillation being treated with radiofrequency catheter ablation;the safety of related index of operation and the clinical effect were compared between 20 cases of Segmental pulmonary vein ostial ablation（SPVA） and 60 cases of circumferential PV ablation（CPVA）.Results No statistical difference of significance in the basic information and the average operation time between the patients of SPVA and those of CPVA was found while the average X-ray fluoroscopy time in patients of SPVA was longer（P〈0.05） as the average operation time for SPVA and CPVA was of no obvious difference（P〈0.05）;follow-up lasted from 6 months to 12 months,the total successful rate reached 73.3%;severe complication（acute pericardial tamponade） occurred in 1 case during the ablation and the patient survived after emergency treatment.Conclusions Radiofrequency catheter ablation is effective for most of the patients with atrial fibrillation.
出处
《西南军医》
2011年第6期1009-1011,共3页
Journal of Military Surgeon in Southwest China
关键词
心房颤动
心律失常
导管消融
atrial fibrillation arrhythmia radiofrequency catheter ablation
