CAJ | 학술논문

目的：探讨二尖瓣置换同期房颤射频消融术治疗风湿性二尖瓣病变合并房颤的早期临床效果。方法将2013年1月至2014年9月43例风湿性二尖瓣病变合并房颤的患者按是否手术同期行房颤射频消融分为消融组和对照组。消融组患者实施瓣膜置换手术同时行外科房颤射频消融,对照组单纯行瓣膜置换手术,对比其围术期及术后1个月临床资料,分析其早期疗效。结果2组均无手术死亡病例,消融组体外循环时间较对照组长,2组术中出血量、术后24 h胸液量、呼吸机使用时间、ICU时间等比较,差异无统计学意义。术后1周心电图提示窦性心律：消融组20例(87%),对照组6例(30%)；术后1个月转复窦性心率,消融组18例(78%),对照组5例(25%)。结论二尖瓣置换同期射频消融术治疗风湿性二尖瓣病变合并房颤安全、有效。
목적：탐토이첨판치환동기방전사빈소융술치료풍습성이첨판병변합병방전적조기림상효과。방법장2013년1월지2014년9월43례풍습성이첨판병변합병방전적환자안시부수술동기행방전사빈소융분위소융조화대조조。소융조환자실시판막치환수술동시행외과방전사빈소융,대조조단순행판막치환수술,대비기위술기급술후1개월림상자료,분석기조기료효。결과2조균무수술사망병례,소융조체외순배시간교대조조장,2조술중출혈량、술후24 h흉액량、호흡궤사용시간、ICU시간등비교,차이무통계학의의。술후1주심전도제시두성심률：소융조20례(87%),대조조6례(30%)；술후1개월전복두성심솔,소융조18례(78%),대조조5례(25%)。결론이첨판치환동기사빈소융술치료풍습성이첨판병변합병방전안전、유효。
Objective The purpose of this study was to investigate the early outcome of radiofrequency ablation for the treatment of atri-al fibrillation (AF) during concomitant mitral valve replace procedures. Methods From January 2013 to September 2014,43 patients with mitral valvular disease with atrial fibrillation were enrolled in this study. The cases were classified into underwent mitral valve replace surgery concomitant with atrial fibrillation radiofrequency ablation ( RFA group) or underwent only mitral valve replace surgery ( control group) . Re-sults There was no perioperative death and stroke. RFA group’ s time of Cardiopulmonary bypass was more longer than control group. The comparison between RFA and control groups revealed no differences in terms of bleeding,24 hours’ Pleural fluid volume,the mechanical ven-tilation time and time in intensive care unit. One week after the operation,20 cases (87%) in RAF group were sinus rhythm while it was 6 cases(30%) in control group. After a follow-up of one month,RAF group had 78% remaind sinus rhythm while it was 25% in control group. Conclusion Radiofrequency ablation for the treatment of atrial fibrillation ( AF) during concomitant mitral valve replace is safe and effective.