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|本期目录/Table of Contents|

冲洗式射频消融迷宫手术治疗不同病因永久性心房颤动的疗效比较

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2014年第3期
页码:
340-343
栏目:
临床研究
出版日期:
2014-03-20

文章信息/Info

Title:
Efficacy of saline-irrigated radiofrequency maze procedure for permanent atrial fibrillation
作者:
黄晓华
（武汉亚洲心脏病医院心外科，湖北 武汉 430022）
Author(s):
HUANG Xiao hua
(Cardiovascular Surgery, Wuhan Asia Heart Hospital, Wuhan 430022, Hubei, China)
关键词:
射频消融迷宫手术; 心房颤动; 永久性; 疗效
Keywords:
saline-irrigated radiofrequency maze procedure;  permanent atrial fibrillation;  efficacy
分类号:
R541.7
DOI:
-
文献标识码:
A
摘要:
目的:分析和比较我院冲洗式射频消融迷宫手术治疗不同病因永久性心房颤动（房颤）的疗效。方法:收集我院2011年1月1日~2012年12月31日外科冲洗式射频消融迷宫手术治疗永久性房颤502例病例资料进行分析。根据病因（手术方式）不同分为两组：瓣膜置换并发冲洗式射频消融迷宫手术（瓣膜病组）406例；非瓣膜置换并发冲洗式射频消融迷宫手术（非瓣膜病组）96例。分别于术中心脏复跳、术后1周、3个月和6个月行超声心动图及心电图检查，观察左房、左室大小及窦性心律维持情况。结果:两组术后各时点心脏转复率均无显著差异，两组左房内径均较术前显著缩小。就全部患者而言，术中心脏转为窦性心律者为358例，转复率为713%；术后1周为376例，转复率为74.9%；术后3个月为347例，转复率为69.1%。术后6个月为339例，转复率为675%。总体手术死亡3例，2例死于低心排，1例死于恶性心律失常（室颤），手术死亡率为06%。结论:冲洗式射频消融迷宫手术治疗不同病因永久性房颤的疗效没有显著差异，疗效均较好。
Abstract:
AIM:To analyze the efficacy of salineirrigated radiofrequency maze procedure for permanent atrial fibrillation (AF). METHODS: Five hundred and two patients treated by saline-irrigated radiofrequency maze procedure for permanent AF from January 1, 2011 to December 31, 2012 in our hospital were divided into two groups according to the different surgical procedures: 406 cases with valvular replacement and 96 cases without valvular replacement during saline-irrigated radiofrequency maze procedure. Size of the left atrium, size of the left ventricle and maintenance of sinus rhythm were observed by cardio.and electrocardiogram examination in all patients during intraoperative cardiac resuscitation, and 1 week, 3 months and 6 months after surgery. RESULTS: Three patients died. In two patients it was due to low cardiac output syndrome and one patient died of malignant arrhythmia (ventricular fibrillation). Three hundred and fifty-eight patients (71.3%) restored sinus rhythm during intraoperative cardiac resuscitation, 376 cases (74.9%) restored sinus rhythm 1 week after surgery, 347 cases restored sinus rhythm (69.1%) 3 months after surgery and 339 cases restored sinus rhythm (69.12%) 6 months after surgery. CONCLUSION: Saline-irrigated radiofrequency maze procedure achieves good curative effect for permanent AF.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2013-09-15.黄晓华，硕士生 Email：xiaohanmin@gmail.com
更新日期/Last Update: 2014-03-21