西安交通大学学报（医学版）
西安交通大學學報（醫學版）
서안교통대학학보（의학판）
Journal of Xi'an Jiaotong University (Medical Sciences)
2015年
6期
796-800
,共5页
孟恬宇%高娟%武金娥%蒋永荣%孙超峰
孟恬宇%高娟%武金娥%蔣永榮%孫超峰
맹념우%고연%무금아%장영영%손초봉
心房颤动%导管射频消融%疗效%左房内径%高血压%心律失常
心房顫動%導管射頻消融%療效%左房內徑%高血壓%心律失常
심방전동%도관사빈소융%료효%좌방내경%고혈압%심률실상
atrial fibrillation%radiofrequency catheter ablation%therapeutic effect%left atrial diameter%hypertension%arrhythmia
目的：通过对行导管射频消融术后的心房颤动患者进行随访及资料分析，评估房颤导管射频消融术的疗效与安全性。方法回顾性分析自2008年3月~2013年1月在西安交通大学医学部第一附属医院接受经射频消融治疗的47例心房颤动患者的临床资料，术后定期随访，复查24 h 动态心电图(Holter)，观察心律失常发作情况，复查心动超声，了解左房内径大小，平均随访32月。结果房颤消融术即刻成功率为82.6%；房颤消融治疗成功率为65.0%，阵发性房颤消融治疗成功率为69.7%，持续性/长时间持续性房颤消融治疗成功率为42.9%；经消融术后左房直径[(36.3±4.3)mm]较术前[(38.1±5.9)mm]明显缩小(P <0.001)；房颤复发患者的年龄较未复发者稍大，复发者的左心房内径与未复发者大，且其高血压患病率高于未复发者(P <0.05)；消融术后患者房颤负荷均值为14.9%，较术前房颤负荷均值46.1%明显减小(P <0.05)。结论导管射频消融术治疗房颤是安全有效的，特别是对阵发性房颤疗效明显；房颤导管射频消融术可显著缩小左心房内径。
目的：通過對行導管射頻消融術後的心房顫動患者進行隨訪及資料分析，評估房顫導管射頻消融術的療效與安全性。方法迴顧性分析自2008年3月~2013年1月在西安交通大學醫學部第一附屬醫院接受經射頻消融治療的47例心房顫動患者的臨床資料，術後定期隨訪，複查24 h 動態心電圖(Holter)，觀察心律失常髮作情況，複查心動超聲，瞭解左房內徑大小，平均隨訪32月。結果房顫消融術即刻成功率為82.6%；房顫消融治療成功率為65.0%，陣髮性房顫消融治療成功率為69.7%，持續性/長時間持續性房顫消融治療成功率為42.9%；經消融術後左房直徑[(36.3±4.3)mm]較術前[(38.1±5.9)mm]明顯縮小(P <0.001)；房顫複髮患者的年齡較未複髮者稍大，複髮者的左心房內徑與未複髮者大，且其高血壓患病率高于未複髮者(P <0.05)；消融術後患者房顫負荷均值為14.9%，較術前房顫負荷均值46.1%明顯減小(P <0.05)。結論導管射頻消融術治療房顫是安全有效的，特彆是對陣髮性房顫療效明顯；房顫導管射頻消融術可顯著縮小左心房內徑。
목적：통과대행도관사빈소융술후적심방전동환자진행수방급자료분석，평고방전도관사빈소융술적료효여안전성。방법회고성분석자2008년3월~2013년1월재서안교통대학의학부제일부속의원접수경사빈소융치료적47례심방전동환자적림상자료，술후정기수방，복사24 h 동태심전도(Holter)，관찰심률실상발작정황，복사심동초성，료해좌방내경대소，평균수방32월。결과방전소융술즉각성공솔위82.6%；방전소융치료성공솔위65.0%，진발성방전소융치료성공솔위69.7%，지속성/장시간지속성방전소융치료성공솔위42.9%；경소융술후좌방직경[(36.3±4.3)mm]교술전[(38.1±5.9)mm]명현축소(P <0.001)；방전복발환자적년령교미복발자초대，복발자적좌심방내경여미복발자대，차기고혈압환병솔고우미복발자(P <0.05)；소융술후환자방전부하균치위14.9%，교술전방전부하균치46.1%명현감소(P <0.05)。결론도관사빈소융술치료방전시안전유효적，특별시대진발성방전료효명현；방전도관사빈소융술가현저축소좌심방내경。
Objective To assess the therapeutic effect and safety of radiofrequency catheter ablation of atrial fibrillation.Methods We analyzed the clinical data of 47 patients with atrial fibrillation who underwent radiofrequency catheter ablation between March 2013 and January 2008,in the First Affiliated Hospital of Xi'an Jiaotong University.In the average 32 months’follow-up,Holter monitering and echocardiography were reviewed for the left atrial diameter.Results The immediate success rate of catheter ablation for atrial fibrillation was 82.6%.The long-term success rate was 65%,the rate of paroxysmal atrial fibrillation was 69.7%,and the rate of longstanding persistent atrial fibrillation was 42.9%.After ablation,the left atrial diameter were markedly reduced compared with that before treatment [(36.3 ± 4.3 )mm vs .(38.1 ± 5.9 )mm)(P < 0.001 ).The patients with recurrent atrial fibrillation were older than those without recurrence,their left atrial diameter was bigger,and the prevalence rate of hypertension was higher (P <0.05).The average atrial fibrillation load was 14.9% after ablation compared with 46.1% before (P <0.05).Conclusion Radiofrequency catheter ablation is an effective and safe treatment of atrial fibrillation,especially for paroxysmal atrial fibrillation.The left atrial diameter was significantly decreased after radiofrequency catheter ablation compared with that before the ablation.
