CAJ | 학술논문

目的探讨心脏瓣膜置换时同期射频消融治疗心房颤动的有效性.方法 86例心房颤动患者应用双极射频消融系统按照迷宫手术原理在心脏瓣膜置换时同期行射频消融治疗心房颤动,并对手术方法进行优化.结果全组无死亡病例,射频消融时间16～56 min,平均(23 ±8) min；术后均立即恢复窦性心律(100％).远期成功率达98.8％ (85/86).结论对心脏瓣膜置换时同期射频消融治疗心房颤动进行优化,手术成功率高,操作简单,值得临床推广应用.
목적 탐토심장판막치환시동기사빈소융치료심방전동적유효성.방법 86례심방전동환자응용쌍겁사빈소융계통안조미궁수술원리재심장판막치환시동기행사빈소융치료심방전동,병대수술방법진행우화.결과 전조무사망병례,사빈소융시간16～56 min,평균(23 ±8) min；술후균립즉회복두성심률(100％).원기성공솔체98.8％ (85/86).결론 대심장판막치환시동기사빈소융치료심방전동진행우화,수술성공솔고,조작간단,치득림상추엄응용.
Objective To investigate the effectiveness of heart valve replacement in the same period of radiofrequency ablation in the treatment of atrial fibrillation.Methods Eighty-six patients with atrial fibrillation underwent heart valve replacement in the same period of bipolar radiofrequency ablation system according to the maze heart valve replacement operation principle.And optimized the operation method.Results No death occurred during operation.The average ablation time was (23 ± 8) minutes with a range of 16-56 minutes.Sinus rhythm of the heart was restored after surgery in all patients (100％).The long-term success rate was 98.8％ (85/86).Conclusion Our optimization of heart valve replacement in the same period of radiofrequency ablation enhanced the success rate of the operation,simplified the procedures,meanwhile it might need widely application clinically.