中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
6期
764-766
,共3页
赵战勇%李志忠%张京梅%阙斌%孙涛%陈顺华%吴翔宇%古天津
趙戰勇%李誌忠%張京梅%闕斌%孫濤%陳順華%吳翔宇%古天津
조전용%리지충%장경매%궐빈%손도%진순화%오상우%고천진
阵发性室上性心动过速%导管消融%并发症
陣髮性室上性心動過速%導管消融%併髮癥
진발성실상성심동과속%도관소융%병발증
Supraventricular tachycardia%Catheter radiofrequency ablation%Complication
目的 评价阵发性室上性心动过速(PSVT)患者射频消融的治疗效果及安全性.方法 回顾分析300例经导管射频消融治疗的PSVT患者的治疗效果,其中房室结折返性心动过速(AVNRT) 170例、房室旁道所致房室折返性心动过速(AVRT) 130例.结果 房室结双径路170例,其中房室结双径路慢快型169例,慢慢型1例.AVNRT中还包括合并房室旁道5例,合并右心室流出道室性心动过速(室速)和室性期前收缩(室早)2例,合并阵发性心房颤动1例,合并Koch三角房性心动过速(房速)1例；手术成功率100％,随访6个月到3年,复发3例,复发率1.8％.房室旁道130例,其中左侧旁道100例(左前游离壁旁道65例,左侧壁旁道28例,左侧双旁道1例,左后间隔旁道3例,左中间隔1例,左侧心外膜旁道2例),右侧旁道30例(右侧游离壁旁道18例,右后间隔旁道5例,右侧Mahaim旁道1例,右后间隔慢旁道2例,右后侧壁旁道2例,希氏束旁道2例).手术成功率99.2％,随访6个月到3年,复发4例,复发率3.1％.发生心包积液1例.结论 射频消融术是一种有效的根治室上性心动过速的方法,成功率高,并发症少.
目的 評價陣髮性室上性心動過速(PSVT)患者射頻消融的治療效果及安全性.方法 迴顧分析300例經導管射頻消融治療的PSVT患者的治療效果,其中房室結摺返性心動過速(AVNRT) 170例、房室徬道所緻房室摺返性心動過速(AVRT) 130例.結果 房室結雙徑路170例,其中房室結雙徑路慢快型169例,慢慢型1例.AVNRT中還包括閤併房室徬道5例,閤併右心室流齣道室性心動過速(室速)和室性期前收縮(室早)2例,閤併陣髮性心房顫動1例,閤併Koch三角房性心動過速(房速)1例；手術成功率100％,隨訪6箇月到3年,複髮3例,複髮率1.8％.房室徬道130例,其中左側徬道100例(左前遊離壁徬道65例,左側壁徬道28例,左側雙徬道1例,左後間隔徬道3例,左中間隔1例,左側心外膜徬道2例),右側徬道30例(右側遊離壁徬道18例,右後間隔徬道5例,右側Mahaim徬道1例,右後間隔慢徬道2例,右後側壁徬道2例,希氏束徬道2例).手術成功率99.2％,隨訪6箇月到3年,複髮4例,複髮率3.1％.髮生心包積液1例.結論 射頻消融術是一種有效的根治室上性心動過速的方法,成功率高,併髮癥少.
목적 평개진발성실상성심동과속(PSVT)환자사빈소융적치료효과급안전성.방법 회고분석300례경도관사빈소융치료적PSVT환자적치료효과,기중방실결절반성심동과속(AVNRT) 170례、방실방도소치방실절반성심동과속(AVRT) 130례.결과 방실결쌍경로170례,기중방실결쌍경로만쾌형169례,만만형1례.AVNRT중환포괄합병방실방도5례,합병우심실류출도실성심동과속(실속)화실성기전수축(실조)2례,합병진발성심방전동1례,합병Koch삼각방성심동과속(방속)1례；수술성공솔100％,수방6개월도3년,복발3례,복발솔1.8％.방실방도130례,기중좌측방도100례(좌전유리벽방도65례,좌측벽방도28례,좌측쌍방도1례,좌후간격방도3례,좌중간격1례,좌측심외막방도2례),우측방도30례(우측유리벽방도18례,우후간격방도5례,우측Mahaim방도1례,우후간격만방도2례,우후측벽방도2례,희씨속방도2례).수술성공솔99.2％,수방6개월도3년,복발4례,복발솔3.1％.발생심포적액1례.결론 사빈소융술시일충유효적근치실상성심동과속적방법,성공솔고,병발증소.
Objective To assess the efficacy and the safety of supraventricular tachycardia(PSVT) treated by radiofrequency ablation.Methods All 300 cases of patients with PSVT were treated by catheter radiofrequency ablation,including 170 cases of atrioventricular nodal tachycardia and 130 cases of atrioventricular pathways.Results In 170 AVNRT patients,slow-fast type occurred in 169 patients and the other one was slow-slow type.Five patients acompanied by atrioventricular pathways; 2 patients had right ventricular outflow tract ventricular tachycardia and ventricular premature beat; one had paroxysmal atrial fibrillation; one had Kock triangle atrial tachycardia.The operation success rate was 100％ with the recurrence rate of 1.8％ (3/169).130 cases of AVRT patients included 100 cases of left accessory pathway and 30 cases of right accessory pathway.The operation success rate was 99.2％ with the recurrence rate of 3.1％ (4/129).Conclusions The results show that the treatment of PSVT by catheter radiofrequency ablation is curative,effective and safe.The complication is minor.
