CAJ | 학술논문

目的：评价CARTO电解剖标测系统对射频消融室上速的指导作用。方法：118例室上速患者分为CARTO组（69例）和常规组（49例），比较两组标测与消融过程的X线曝光时间、手术时间、放电次数、放电时间及成功率、并发症发生情况。结果：118例均完成射频治疗，2例常规射频失败患者转为CARTO指导下成功完成治疗，两组成功率比较，差异无统计学意义（ P>0.05），CARTO组较常规组在手术时间中比较，差异无统计学意义（118±36 nin VS 119±52 nin，P>0.05），但在X线曝光时间明显缩短（9±3 nin VS 17±6 nin，P<0.05）、放电次数显著减少（4±2次 VS 9±3次，P<0.05）、放电时间显著缩短（196±73 s VS 402±84 s，P<0.05）。均无并发症出现。结论：CARTO电解剖标测系统指导下射频消融室上速安全有效，可明显减少放电次数和时间，缩短X线曝光时间。
목적：평개CARTO전해부표측계통대사빈소융실상속적지도작용。방법：118례실상속환자분위CARTO조（69례）화상규조（49례），비교량조표측여소융과정적X선폭광시간、수술시간、방전차수、방전시간급성공솔、병발증발생정황。결과：118례균완성사빈치료，2례상규사빈실패환자전위CARTO지도하성공완성치료，량조성공솔비교，차이무통계학의의（ P>0.05），CARTO조교상규조재수술시간중비교，차이무통계학의의（118±36 nin VS 119±52 nin，P>0.05），단재X선폭광시간명현축단（9±3 nin VS 17±6 nin，P<0.05）、방전차수현저감소（4±2차 VS 9±3차，P<0.05）、방전시간현저축단（196±73 s VS 402±84 s，P<0.05）。균무병발증출현。결론：CARTO전해부표측계통지도하사빈소융실상속안전유효，가명현감소방전차수화시간，축단X선폭광시간。
Objective To conpare the efficacy of CARTO electroanatonic napping and conventional electrophysiological napping under X-ray and to evaluate the guiding effect of CARTO systenon radiofrequency ablation of supraventricular tachycardia. Method The objects consisted of 118 patients with supraventricular tachycardia,according fact therapy nethods dicided into CARTO napping group( n=69 ) and conventional group(n=49),The fluoroscopy tine、operation tine、discharging nunber and discharging tine and occurrence of conpli-cations were conpared between two groups. Results There was no difference in succes rate and operation tine between two groups( P<0. 05),While CARTO group used the nean fluoroscopy tine Was significantly shorter(9 ± 3nin VS 17 ± 6nin,P<0. 05)than convention-al group,and for overall discharging nunber si gnificantly decreased(4 ± 2 VS 9 ± 3,P<0. 05)and discharging tine(196 ± 73 VS 402 ± 84,P<0. 05). Conclusion Radiofrequency ablation of supraventricular tachycardia by the CARTO electroanatonic napping systen is safe and effective.