本文選題：右側旁道 + 射頻消融術��； 參考：《山東醫(yī)藥》2017年41期

【摘要】：目的探討Ensite Navx三維標測系統(tǒng)指導下射頻消融術(RFCA)治療右側旁道(RAP)的效果。方法選取接受RFCA治療的111例RAP患者,將其分為觀察組57例及對照組54例,觀察組于Ensite Navx引導下行RFCA,對照組于傳統(tǒng)X線下行RFCA。比較兩組放置標測導管過程中X線照射時間和曝光劑量、操作消融導管進行標測消融過程中X線照射時間和曝光劑量、手術時間、即刻成功率、并發(fā)癥等。結果觀察組、對照組放置標測導管過程中X線照射時間分別為(2.2±1.2)、(2.3±1.1)min,曝光劑量分別為(1.5±1.1)、(1.4±1.0)m Gy,兩組比較,P均0.05。觀察組、對照組消融導管操作過程中X線照射時間分別為(2.3±1.2)、(14.2±3.5)min,X線曝光劑量分別為(2.5±1.0)、(18.9±5.6m)m Gy,兩組比較,P均0.05。觀察組、對照組手術全程X線照射時間分別為(5.3±2.9)、(16.8±4.2)min,總曝光劑量分別為(6.1±3.1)、(19.6±5.4)m Gy,兩組比較,P均0.05。觀察組、對照組手術時間分別為(43.9±13.6)、(54.9±15.7)min,兩組比較,P0.05。兩組均消融成功,術后隨訪3個月無復發(fā)病例。術中兩組均未出現(xiàn)相關并發(fā)癥。結論 Ensite Navx三維標測系統(tǒng)指導下RFCA治療RAP的效果較好,可在一定程度上縮短總手術時間及曝光劑量,不增加手術相關并發(fā)癥的發(fā)生風險。
[Abstract]:Objective to investigate the effect of radiofrequency ablation (RFCA) guided by Ensite Navx three-dimensional mapping system in the treatment of right accessory pathway (AP). Methods 111 patients with RFCA were divided into observation group (n = 57) and control group (n = 54). The observation group was guided by Ensite Navx and the control group was treated with conventional X-ray. The X-ray irradiation time and exposure dose during catheter placement were compared between the two groups, and X-ray irradiation time and exposure dose, operation time, immediate success rate and complications were measured by ablation catheter mapping. Results in the observation group, the X-ray irradiation time and the exposure dose were 2.2 鹵1.2 鹵1.2 鹵1.1 min and 1.4 鹵1.0 mGy, respectively, in the control group. The comparison was made between the two groups (P < 0.05). In the observation group, the time of X-ray irradiation during catheter ablation in the control group was 2.3 鹵1.2 min ~ (-1) and 14.2 鹵3.5 min ~ (-1), respectively. The exposure dose of X ray in the control group was (2.5 鹵1.0) min ~ (-1) (18.9 鹵5.6m)m ~ (-1) Gy), respectively, and the two groups were compared with each other (P < 0.05). In the observation group, the total exposure dose was 19.6 鹵5.4mGy and the total exposure dose was 6.1 鹵3.1mGy, respectively. The X-ray irradiation time of the control group was 5.3 鹵2.9g / min, respectively, and the total exposure dose was 0.05g / min. The results were as follows: (1) in the control group, the total exposure dose was 19.6 鹵5.4mGy (P = 0.05). In the observation group, the operative time in the control group was 43.9 鹵13.6 min, respectively, 54.9 鹵15.7min, compared with P0.05in the two groups. Ablation was successful in both groups, and no recurrence occurred after 3 months follow-up. There were no related complications in both groups. Conclusion RFCA under the guidance of Ensite Navx three-dimensional mapping system is effective in the treatment of RAP. It can shorten the total operative time and exposure dose to some extent and does not increase the risk of complications associated with surgery.
【作者單位】： 新疆醫(yī)科大學;新疆醫(yī)科大學附屬中醫(yī)醫(yī)院·新疆維吾爾自治區(qū)中醫(yī)藥研究院;
【分類號】：R541.7

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