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影响射频消融迷宫术治疗慢性心房纤颤疗效的因素(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第4期
页码:
290-292
栏目:
论著
出版日期:
2001-07-01

文章信息/Info

Title:
The Analysis of factors that influence the result of radiofrequency ablation maze procedure in treating chronic a trial fibrillation
作者:
周更须1;  蔡振杰1;  杜日映2;  孙国成1;  俞世强1;  万明明1
第四军医大学: 1. 西京医院心血管外科中心, 陕西西安710032; 2. 唐都医院心脏内科
Author(s):
ZHOU Geng-xu1;  CAI Zhen-jie1;  DU Ri-ying2;  SUN Guo-cheng1;  YU Shi-qiang1;  WAN Ming-ming1
1. Center of Cardiovascular Surgery, Xijing Hospital,Xi’an Shaanxi 710032, China; 2. Department of Cardiology, Tangdu Hospital, Fourth Military Medical University
关键词:
心房颤动;  慢性;  迷宫术;  射频消融
Keywords:
atrial fibrillation;  chronic; maze procedure;  radiofrequency ablation
分类号:
R541.75
DOI:
-
文献标识码:
A
摘要:
目的 分析风湿性心脏病(RHD) 慢性心房颤动(AF) 患者左心房大小和AF 病史长短与射频迷宫手术治疗AF 疗效的关系。方法 所有患者术前均做超声心动图检查左心房内径, 询问A F 病史, 按射频消融迷宫手术疗效分组比较。结果 手术后恢复窦性心律(恢复组) 患者和未恢复窦性心律(未恢复组) 患者A F 病史长短和左心房大小有显著差异(3. 8±3. 2 年vs 11. 1±8. 7 年, 66±10 mm vs 82±13 mm , 均P < 0. 01) ;AF 病史≥3 年的患者AF 转复率明显低于AF 病史< 3 年的患者(72% vs 96% , P < 0. 01) ; 左心房长径≥70 mm 患者AF 转复率明显低于左心房长径< 70 mm 的患者(62% vs 95% , P < 0. 01)。结论 AF 病史长短和左心房大小明显影响射频迷宫手术的治疗 效果,AF 病史越长、左心房越大手术效果越差。
Abstract:
AIM To study the influence of left atrium size and AF duration on the result of radiofrequency ablation maze procedure (RAMP) in treating chronic atrial fibrillation (AF) for patients with rheumatic heart disease (RHD). METHODS Echocardiography examination was made for all patients before operation and long dimension of left atrium and AF duration were recorded. The patients were divided and analyzed according to the result of radiofrequency ablation maze procedure. RESULTS The difference of the AF duration and the left atrium long dimension between patients who restored and didn’t restorew as significant (3. 8±3. 2 year vs 11.1±8. 7 year, 66±10 mm vs 82±13 mm , P < 0. 01 respectively). The percentage of patients who restored to sinus rhythm with AF duration < 3 year was significantly higher than those with AF duration ≥3 year (72% vs 96% , P < 0. 01). The percentage of patients who restored to sinus rhythm with long dimension of left atrium < 70 mm was significantly higher than those with left atrium dimension ≥ 70 mm ( 62% vs 95% , P < 0. 01). CONCLUTION The longer the AF duration and the larger the left atrium are, the worse the effect of the RAMP is.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2000-06-05.
更新日期/Last Update: 2001-07-01