中国循环杂志
中國循環雜誌
중국순배잡지
CHINESE CIRCULATION JOURNAL
2014年
10期
787-790
,共4页
马凌%王菲%蔡晓庆%张玉秀%史亮%剡冬冬%姚焰%张卫泽
馬凌%王菲%蔡曉慶%張玉秀%史亮%剡鼕鼕%姚燄%張衛澤
마릉%왕비%채효경%장옥수%사량%섬동동%요염%장위택
心房颤动%环肺静脉前庭隔离消融%7字线消融
心房顫動%環肺靜脈前庭隔離消融%7字線消融
심방전동%배폐정맥전정격리소융%7자선소융
Atrial ifbrillation%Circumferential pulmonary vein antecourt isolation ablation%Stepwise linear ablation
目的:比较环肺静脉前庭隔离消融术与7字线消融术两种不同术式治疗心房颤动(房颤)的有效性和安全性。方法:对我科在EnSite三维指导下行房颤导管消融治疗的136例患者(阵发性房颤组93例,持续性房颤组43例)进行回顾性分析,按照其房颤类型和消融术式分为阵发性房颤环肺静脉前庭隔离消融者(45例),阵发性房颤7字线消融者(48例),持续性房颤环肺静脉前庭隔离消融者(18例),持续性房颤7字线消融者(25例),比较两术式对患者左心房直径、消融成功率、并发症情况、消融时间和X线曝光时间等因素的影响。结果:通过12个月的随访,两术式在治疗阵发性房颤组和持续性房颤组的成功率和并发症上均无显著统计学差异。对于阵发性房颤组,两术式均能有效减小左心房直径(P<0.01)。在手术时间上,7字线消融者明显短于环肺静脉前庭隔离消融者时间(P<0.01),但两术式X线曝光时间未见明显差异。结论:在房颤治疗中,环肺静脉前庭隔离消融者与7字线消融者均具有较高的有效性与较好的安全性,能有效逆转阵发性房颤中左心房重构。
目的:比較環肺靜脈前庭隔離消融術與7字線消融術兩種不同術式治療心房顫動(房顫)的有效性和安全性。方法:對我科在EnSite三維指導下行房顫導管消融治療的136例患者(陣髮性房顫組93例,持續性房顫組43例)進行迴顧性分析,按照其房顫類型和消融術式分為陣髮性房顫環肺靜脈前庭隔離消融者(45例),陣髮性房顫7字線消融者(48例),持續性房顫環肺靜脈前庭隔離消融者(18例),持續性房顫7字線消融者(25例),比較兩術式對患者左心房直徑、消融成功率、併髮癥情況、消融時間和X線曝光時間等因素的影響。結果:通過12箇月的隨訪,兩術式在治療陣髮性房顫組和持續性房顫組的成功率和併髮癥上均無顯著統計學差異。對于陣髮性房顫組,兩術式均能有效減小左心房直徑(P<0.01)。在手術時間上,7字線消融者明顯短于環肺靜脈前庭隔離消融者時間(P<0.01),但兩術式X線曝光時間未見明顯差異。結論:在房顫治療中,環肺靜脈前庭隔離消融者與7字線消融者均具有較高的有效性與較好的安全性,能有效逆轉陣髮性房顫中左心房重構。
목적:비교배폐정맥전정격리소융술여7자선소융술량충불동술식치료심방전동(방전)적유효성화안전성。방법:대아과재EnSite삼유지도하행방전도관소융치료적136례환자(진발성방전조93례,지속성방전조43례)진행회고성분석,안조기방전류형화소융술식분위진발성방전배폐정맥전정격리소융자(45례),진발성방전7자선소융자(48례),지속성방전배폐정맥전정격리소융자(18례),지속성방전7자선소융자(25례),비교량술식대환자좌심방직경、소융성공솔、병발증정황、소융시간화X선폭광시간등인소적영향。결과:통과12개월적수방,량술식재치료진발성방전조화지속성방전조적성공솔화병발증상균무현저통계학차이。대우진발성방전조,량술식균능유효감소좌심방직경(P<0.01)。재수술시간상,7자선소융자명현단우배폐정맥전정격리소융자시간(P<0.01),단량술식X선폭광시간미견명현차이。결론:재방전치료중,배폐정맥전정격리소융자여7자선소융자균구유교고적유효성여교호적안전성,능유효역전진발성방전중좌심방중구。
Objective: To compare the efifcacy and safety of circumferential pulmonary vein antecourt isolation (CPVAI) ablation and stepwise linear (SL) ablation in treating the patients with atrial ifbrillation (AF) Methods: A total of 136 AF patients with catheter ablation under EnSite 3000 guidance in our hospital were retrospectively summarized. The patients included 93 paroxysmal AF and 43 persistent AF and divided into 4 groups. Paroxysmal AF with CPVAI ablation,n=45, Paroxysmal AF with SL ablation,n=48 and persistent AF with CPVAI ablation, n=18, persistent AF with SL ablation,n=25. The differences of left atrium diameter, ablation time, X-ray exposure time, the success rate and complication were compared among different groups. Results: For 12 months follow-up study, the success rate and complication were similar between 2 ablation methods for treating both Paroxysmal AF and persistent AF patients. For Paroxysmal AF patients, both ablation methods could effectively reduce left atrium diameter,P<0.01. The SL ablation had less procedural time than CPVAI ablation,P<0.01, while the X-ray exposure time was similar between 2 ablation methods. Conclusion: Both CPVAI and SL ablation methods were effective and safe for treating AF patients.