CAJ | 학술논문

目的：比较阵发性房颤经导管射频消融与抗心律失常药物治疗的长期疗效。方法连续入选阵发性房颤患者26例，给予CARTO指导下的射频消融环肺静脉电隔离术，配对入选26例房颤患者，给予药物治疗。临床随访观察房颤、房速的发生情况。结果平均随访28.7个月。消融组患者73.1%消融成功，药物治疗对照组11.5%无房颤发作，差异有统计学意义（P＜0.001）。结论研究结果提示，阵发性房颤患者射频消融治疗的长期效果明显优于药物治疗。
목적：비교진발성방전경도관사빈소융여항심률실상약물치료적장기료효。방법련속입선진발성방전환자26례，급여CARTO지도하적사빈소융배폐정맥전격리술，배대입선26례방전환자，급여약물치료。림상수방관찰방전、방속적발생정황。결과평균수방28.7개월。소융조환자73.1%소융성공，약물치료대조조11.5%무방전발작，차이유통계학의의（P＜0.001）。결론연구결과제시，진발성방전환자사빈소융치료적장기효과명현우우약물치료。
Objective To compare the long-term curative effect between radiofrequency catheter ablation and drug therapy in patients with paroxysmal atrial fibrillation (AF). Methods The AF patients (n=26) were chosen continuously and treated with radiofrequency catheter ablation of circumferential pulmonary vein isolation under the guidance of CARTO. At the same time other 26 AF patients were chosen and treated with drugs. The incidence of AF and atrial tachycardia (AT) were observed and followed up. Results The average follow-up period was 28.7 m. In ablation group there were 73.1%cases with successful operation and in drug group there were 11.5%cases without AF attack (P<0.001). Conclusion The long-term curative effect of radiofrequency catheter ablation is much better than that of drug therapy.