中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
9期
31-32
,共2页
心房颤动%射频导管消融%心脏形态
心房顫動%射頻導管消融%心髒形態
심방전동%사빈도관소융%심장형태
Atrial fibrillation%Radiofrequency catheter ablation%Morphology
目的:探讨房颤射频消融术治疗阵发性房颤患者心脏形态和功能的影响,评价导管消融术治疗房颤的有效性和安全性。方法收集116例行导管射频消融术治疗的房颤患者的术前资料,治疗前及治疗后1、3、6个月分别经多普勒超声心动图测量左心房前后径(LAD),右心房前后径(RAD),左室射血分数(LVEF%)。术后随访6个月,监测房颤复发情况。结果所有患者经导管射频消融治疗后效果理想,随访6个月内房颤复发率低,左、右心房直径均明显缩小(P<0.05), EF值明显升高(P<0.05)。结论房颤射频消融术能显著缩小房颤患者左、右心房内径,改善心功能,是安全有效的房颤治疗方法。
目的:探討房顫射頻消融術治療陣髮性房顫患者心髒形態和功能的影響,評價導管消融術治療房顫的有效性和安全性。方法收集116例行導管射頻消融術治療的房顫患者的術前資料,治療前及治療後1、3、6箇月分彆經多普勒超聲心動圖測量左心房前後徑(LAD),右心房前後徑(RAD),左室射血分數(LVEF%)。術後隨訪6箇月,鑑測房顫複髮情況。結果所有患者經導管射頻消融治療後效果理想,隨訪6箇月內房顫複髮率低,左、右心房直徑均明顯縮小(P<0.05), EF值明顯升高(P<0.05)。結論房顫射頻消融術能顯著縮小房顫患者左、右心房內徑,改善心功能,是安全有效的房顫治療方法。
목적:탐토방전사빈소융술치료진발성방전환자심장형태화공능적영향,평개도관소융술치료방전적유효성화안전성。방법수집116례행도관사빈소융술치료적방전환자적술전자료,치료전급치료후1、3、6개월분별경다보륵초성심동도측량좌심방전후경(LAD),우심방전후경(RAD),좌실사혈분수(LVEF%)。술후수방6개월,감측방전복발정황。결과소유환자경도관사빈소융치료후효과이상,수방6개월내방전복발솔저,좌、우심방직경균명현축소(P<0.05), EF치명현승고(P<0.05)。결론방전사빈소융술능현저축소방전환자좌、우심방내경,개선심공능,시안전유효적방전치료방법。
Objective To detect the effect of radiofrequency catheter ablation(RFCA) on cardiac morphology in patients with paroxysmal atrial ifbrillation. Methods 116 patients with paroxysmal AF undergoing RFCA were studied. Left atrium (LA) diameter, right atrium (RA) diameter, left ventricular ejection fraction (LVEF) , were observed 1, 3 and 6 months after RFCA and compared with before RFCA. The recurrence of atrial arrhythmias was observed 3 and 6 months after the procedure. Results During a follow-up of six months, the outcomes of RFCA were satisfying with decreased recurrence of AF. Compared with before RFCA, LAD and RAD decreased and LVEF increased significantly after RFCA(P<0.05). Conclusion RFCA can signiifcantly reduce LA diameter and forming heart failure in patients with paroxysmal and permanent.