新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2014年
10期
1337-1339
,共3页
孟巳琦%李晋新%汤宝鹏%李耀东%周贤惠%张燕一%张宇%许国军%邢强%张疆华%孙凌
孟巳琦%李晉新%湯寶鵬%李耀東%週賢惠%張燕一%張宇%許國軍%邢彊%張疆華%孫凌
맹사기%리진신%탕보붕%리요동%주현혜%장연일%장우%허국군%형강%장강화%손릉
心律失常%旁路%导管消融%房间隔穿刺术
心律失常%徬路%導管消融%房間隔穿刺術
심률실상%방로%도관소융%방간격천자술
arrhythmias%accessory pathways%transseptal procedure%catheterablation
目的：探讨穿房间隔途径导管消融治疗心律失常的临床疗效。方法选择1999年2月-2014年5月在新疆医科大学第一附属医院进行穿房间隔途径导管消融治疗的59例心律失常患者，其中48例为左侧旁路，11例为左房房速。分析穿房间隔导管消融治疗心律失常患者的临床疗效。结果穿房间隔导管消融在59例中完成了56例（94．9％）。射频消融左侧旁路成功率为91．7％，射频消融左房房速成功率为81．8％。59例平均射线曝光总时间为（38±22）min，平均操作时间（从患者到导管室至返回病房）为（125±42）min，消融左侧旁路平均操作时间为（131±33）min，消融左房房速的平均操作时间为（52±26）min。术后仅有1例患者出现轻微胸痛，其余患者均未发生危及生命的并发症。结论经穿房间隔途径消融治疗心律失常的技术具有手术时间短、操作成功率高、并发症少等优点，是治疗心律失常的理想术式。
目的：探討穿房間隔途徑導管消融治療心律失常的臨床療效。方法選擇1999年2月-2014年5月在新疆醫科大學第一附屬醫院進行穿房間隔途徑導管消融治療的59例心律失常患者，其中48例為左側徬路，11例為左房房速。分析穿房間隔導管消融治療心律失常患者的臨床療效。結果穿房間隔導管消融在59例中完成瞭56例（94．9％）。射頻消融左側徬路成功率為91．7％，射頻消融左房房速成功率為81．8％。59例平均射線曝光總時間為（38±22）min，平均操作時間（從患者到導管室至返迴病房）為（125±42）min，消融左側徬路平均操作時間為（131±33）min，消融左房房速的平均操作時間為（52±26）min。術後僅有1例患者齣現輕微胸痛，其餘患者均未髮生危及生命的併髮癥。結論經穿房間隔途徑消融治療心律失常的技術具有手術時間短、操作成功率高、併髮癥少等優點，是治療心律失常的理想術式。
목적：탐토천방간격도경도관소융치료심률실상적림상료효。방법선택1999년2월-2014년5월재신강의과대학제일부속의원진행천방간격도경도관소융치료적59례심률실상환자，기중48례위좌측방로，11례위좌방방속。분석천방간격도관소융치료심률실상환자적림상료효。결과천방간격도관소융재59례중완성료56례（94．9％）。사빈소융좌측방로성공솔위91．7％，사빈소융좌방방속성공솔위81．8％。59례평균사선폭광총시간위（38±22）min，평균조작시간（종환자도도관실지반회병방）위（125±42）min，소융좌측방로평균조작시간위（131±33）min，소융좌방방속적평균조작시간위（52±26）min。술후부유1례환자출현경미흉통，기여환자균미발생위급생명적병발증。결론경천방간격도경소융치료심률실상적기술구유수술시간단、조작성공솔고、병발증소등우점，시치료심률실상적이상술식。
Objective To explore wear interatrial septum the clinical efficacy of catheter ablation of cardiac arrhythmias method.Methods 5 9 patients with arrhythmia were selected in our hospital by interatrial sep-tum puncture catheter ablation from February 1999 to May 2014,48 cases were by the left side of the by-pass,11 cases of left atrial room rate.Results 56 cases (94.9%)were completed Catheter ablation wear interval in 59 patients;the Radio frequency ablation on the left side of the bypass success rate was 97.9%, the room of left atrial instant power of 90.9%.Ray exposure on average a total of (38±22)min,left for bypass patients (31±17)min average total operating time (from the patients to the international to back ward)is (125 ±42)min,the left side of the bypass (131±33)is the average operation time min left the room (52±26)min.Only 1 case of postoperative patients have mild chest pain,the others are not life-threatening complications.Conclusion Interatrial septum pathway ablation of cardiac arrhythmias technol-ogy has shorter operation time,operation high success rate,less complications.It is the ideal operation for the treatment of arrhythmia.
