摘要
目的：探讨选择性肺静脉造影对肺静脉大环隔离术中主要质量指标的影响。方法入选2013年10月至2014年5月在河南省人民医院因阵发性心房颤动（房颤）而接受肺静脉大环隔离术的患者116例，随机（抛硬币法）分为两组：选择性肺静脉造影组（61例）和非选择性肺静脉造影组（55例）。对两组患者术中曝光时间、总手术时间、肺静脉隔离率和预定消融径线外消融点数进行分析。结果选择性肺静脉造影组与非选择性肺静脉造影组相比：曝光时间差异无统计学意义[（24．6±6．2） min 对（23．0±6．5） min，P＞0．05]，总手术时间降低[（143±56） min对（165±63） min，P＜0．05）]，预定消融径线外消融点数减少[（4±2）个对（15±6）个，P＜0．05]，肺静脉隔离率差异无统计学意义（96．7％对96．4％，P＞0．05）。结论选择性肺静脉造影能明显提高肺静脉隔离术的手术质量。
Objective To investigate the effect of selective pulmonary vein angiography on the main operative quality indexes during circumferential pulmonary vein isolation（CPVI）.Methods A total of 116 patients receiving circumferential pulmonary vein isolation treatment due to paroxysmal atrial fibrillation （ AF） in Henan Province People’s hospital between October 2013 and May 2014.were enrolled in this study.They were divided into the study group（61 cases）for selective pulmonary vein angiography and the control group （55 cases）for non-selective pulmonary vein angiography.Fluoroscopy time,total duration of procedure,isola-tion rate of the pulmonary veins and ablation sites outside the scheduled ablation lines were recorded .Results The total duration of procedure was shorter [（143±56） min vs.（165±63） min,P〈0.05]and the ablation sites outside the scheduled ablation lines were less[（4±2）vs.（15±6）,P〈0.01]in the study group than that in the control group.There were no statistical differences in fluoroscopy time [ （ 24.6 ±6.2） min vs.（ 23.0 ± 6.5） min,P〉0.05]）or pulmonary vein isolation rate（96.7%vs.96.4%,P〉0.05）between the two groups. Conclusion Selective pulmonary vein angiography can significantly improve the operative quality of circum-ferential pulmonary vein isolation.
出处
《中华心律失常学杂志》
2016年第3期212-215,共4页
Chinese Journal of Cardiac Arrhythmias
关键词
选择性肺静脉造影
肺静脉隔离术
手术质量
Selective pulmonary vein angiography
Circumferential pulmonary vein isolation
Operative quality
