CAJ | 학술논문

目的：收集射频消融术在老年阵发性室上性心动过速中的治疗信息,分析影响射频消融术治疗的关键因素。方法：收集我院收治老年阵发性室上性心动过速92例,其中男33例,女59例；平均年龄(74.5±10.3)岁,根据患者的不同病情采用射频消融术治疗,收集患者治疗信息。结果：92例老年阵发性室上性心动过速患者手术即时成功89例,成功率为96.7%,术后复发3例,总复发率3.4%。92例PSVT患者出现手术并发症2例(2.2%),其中1例为股动脉穿刺部位血肿形成,1例出现2度Ⅱ型房室传导阻滞。结论：射频消融是大部分快速性心律失常的首要方法,其具有简捷、安全和有效的特点,通过进一步改善处理术中出现的特殊电生理现象、捕捉发作时体表ECG可进一步其治疗效果。
목적：수집사빈소융술재노년진발성실상성심동과속중적치료신식,분석영향사빈소융술치료적관건인소。방법：수집아원수치노년진발성실상성심동과속92례,기중남33례,녀59례；평균년령(74.5±10.3)세,근거환자적불동병정채용사빈소융술치료,수집환자치료신식。결과：92례노년진발성실상성심동과속환자수술즉시성공89례,성공솔위96.7%,술후복발3례,총복발솔3.4%。92례PSVT환자출현수술병발증2례(2.2%),기중1례위고동맥천자부위혈종형성,1례출현2도Ⅱ형방실전도조체。결론：사빈소융시대부분쾌속성심률실상적수요방법,기구유간첩、안전화유효적특점,통과진일보개선처리술중출현적특수전생리현상、포착발작시체표ECG가진일보기치료효과。
Objective: Collect radiofrequency ablation in elderly paroxysmal supraventricular tachycardia in the treatment of information, analysis, impact radiofrequency ablation of key factors.Methods: Elderly our hospital paroxysmal supraventricular tachycardia in 92 patients, including 33 males, 59 females;mean age (74.5±10.3) years, according to the patient different treatments radiofrequency ablation, patients were collected treatment information.Results:92 cases of elderly patients with paroxysmal room sex on the room tachycardia surgery, 89 cases of instant success, the success rate was 96.7%, 3 cases of postoperative recurrence, overall recurrence rate of 3.4%. 92 PSVT patients in surgical complications in 2 cases (2.2%), including 1 case of femoral arterial puncture, hematoma, 1 case appearedⅡtype 2 degree atrioventricular block. conclusion:the radiofrequency ablation is the most principal method of arrhythmia, it has the characteristics of simple, safe and effective, by further improvement in the processing technique of special electrical physiological phenomena, capture attacks body surface ECG.