【摘要】：目的:回顧性分析在我院行心內(nèi)直視術(shù)同期雙極射頻改良迷宮術(shù)治療房顫的患者的中遠(yuǎn)期臨床療效。方法:選取2012年至2014年所有在我院行心內(nèi)直視手術(shù)和雙極射頻改良迷宮術(shù)治療房顫的患者資料,用查詢病案、電話、門診隨訪等方法搜集患者住院期間以及出院后的心電圖、心臟彩超等檢查結(jié)果,了解術(shù)后恢復(fù)情況及生活質(zhì)量,根據(jù)結(jié)果分析該手術(shù)方法的中遠(yuǎn)期臨床療效。結(jié)果:隨訪時(shí)間從2.5月至26.8月不等,平均隨訪13.4±6.35個月。總共64例中失訪9例,隨訪率為85.94%。從心電圖結(jié)果統(tǒng)計(jì)得到的資料顯示CCU、出院前、術(shù)后3月、至今最近一次檢查結(jié)果的房顫轉(zhuǎn)復(fù)率分別為81.25%(52/64),50.00%(32/64),66.13%(41/62),72.72%(40/55)。術(shù)前、術(shù)后、術(shù)后3月、最近一次檢查的心臟超聲結(jié)果顯示左房內(nèi)徑為57.10±7.27mm,49.24±8.27mm,44.07±5.41mm,43.71±6.18mm。術(shù)前NYHA心功能分布:I-II級1例,II級19例,III級40例,IV級4例,最近一次隨訪結(jié)果顯示的心功能分布:I-II級48例,II級5例,III級2例。圍術(shù)期死亡率為0,在訪所有患者至今均無死亡及心腦血管意外發(fā)生。結(jié)論:我院行雙極射頻改良迷宮術(shù)治療房顫,術(shù)后中遠(yuǎn)期臨床療效良好,安全性好,值得在臨床上推廣。
[Abstract]:Objective: to retrospectively analyze the mid-and long-term clinical effects of bipolar radiofrequency modified maze in the treatment of atrial fibrillation. Methods: from 2012 to 2014, all patients undergoing open heart surgery and bipolar radiofrequency modified maze for atrial fibrillation were selected. Electrocardiogram (ECG) of the patients during hospitalization and after discharge were collected by consulting medical records, telephone, outpatient follow-up and so on. The results of color Doppler echocardiography were used to understand the recovery and quality of life after operation, and to analyze the mid-and long-term clinical effect of the method. Results: the follow-up time ranged from 2.5 months to 26.8 months, with an average follow-up of 13.4 鹵6.35 months. The follow-up rate was 85.94. The electrocardiographic data showed that the conversion rate of atrial fibrillation was 81.25% (52 / 64) 50.00% (32 / 64) 66.13% (41 / 62) and 72.72% (40 / 55) respectively. Before and three months after operation, the results of the latest echocardiography showed that the diameter of left atrium was 49.24 鹵8.27 mm and 44.07 鹵5.41 mm / 43.71 鹵6.18 mm. Preoperative distribution of cardiac function in NYHA was 1 case, 1 case, grade II, 19 cases, grade III, 40 cases, grade IV, 4 cases, and the most recent follow-up showed that the distribution of cardiac function in 48 cases of grade 1, I II, grade II, and grade II, was 5 cases, grade III, 2 cases. The perioperative mortality rate was 0 and no cardiac and cerebrovascular accidents occurred in all the patients. Conclusion: Bipolar radiofrequency modified labyrinth is an effective and safe method for the treatment of atrial fibrillation.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R654.2

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