本文選題：陣發(fā)性室上性心動(dòng)過速 + 陣發(fā)性房室結(jié)折返性心動(dòng)過速��； 參考：《山東醫(yī)藥》2017年15期

【摘要】：目的觀察Carto3三維電解剖標(biāo)測系統(tǒng)(后簡稱Carto3系統(tǒng))引導(dǎo)壓力導(dǎo)管射頻消融術(shù)治療陣發(fā)性房室結(jié)折返性心動(dòng)過速(AVNRT)的效果。方法因AVNRT行射頻消融術(shù)治療的患者58例,觀察組28例,在Carto3系統(tǒng)引導(dǎo)下采用壓力導(dǎo)管消融術(shù)治療;對照組30例在X線引導(dǎo)下行常規(guī)射頻消融術(shù)治療。記錄并比較兩組的消融功率、消融次數(shù)、手術(shù)成功率、手術(shù)時(shí)間、X線曝光時(shí)間、射線劑量、AVNRT復(fù)發(fā)及并發(fā)癥發(fā)生情況。結(jié)果兩組手術(shù)成功率均為100%。觀察組消融功率為(25.7±6.0)W、放電次數(shù)(4.8±1.1)次、手術(shù)時(shí)間(86.7±11.9)min,對照組分別為(35.7±10.0)W、(7.9±3.2)次、(93.2±11.3)min,觀察組消融功率和放電次數(shù)均小于對照組(P均0.01)。觀察組整個(gè)手術(shù)過程零射線,對照組X線曝光時(shí)間為(23.1±6.0)min,射線劑量為(5.0±7.9)Gy/cm2,兩組相比,P均0.05。隨訪3~6個(gè)月,兩組均無復(fù)發(fā)。觀察組無并發(fā)癥發(fā)生,對照組發(fā)生一過性Ⅲ度房室傳導(dǎo)阻滯3例,兩組并發(fā)癥發(fā)生率相比,P0.05。結(jié)論與常規(guī)射頻消融術(shù)相比,Carto3系統(tǒng)引導(dǎo)下壓力導(dǎo)管消融術(shù)消融功率更低、消融次數(shù)減少、不延長手術(shù)時(shí)間,治療AVNRT安全、有效,還可避免X線帶來的危害。
[Abstract]:Objective to observe the effect of radiofrequency catheter ablation guided by Carto3 system in the treatment of paroxysmal atrioventricular nodal reentrant tachycardia (AVNRTT). Methods Fifty-eight patients with AVNRT underwent radiofrequency ablation, 28 patients in the observation group were treated with pressure catheter ablation under the guidance of Carto3 system, and 30 patients in the control group were treated with conventional radiofrequency ablation under X-ray guidance. The ablation power, the number of ablation, the successful rate of operation, the time of X-ray exposure, the recurrence of AVNRT and the incidence of complications were recorded and compared between the two groups. Results the successful rate of operation was 100 and 100 in both groups. The ablation power was 25.7 鹵6.0W, the discharge times were 4.8 鹵1.1 times, the operation time was 86.7 鹵11.9min in the observation group and the control group was 35.7 鹵10.0W (7.9 鹵3.2min). The ablation power and the discharge times in the observation group were lower than those in the control group (P < 0.01). In the observation group, the X-ray exposure time was 23.1 鹵6.0 min, and the radiation dose was 5.0 鹵7.9 Gy / cm ~ 2. The two groups were compared with each other (P < 0.05). Follow-up for 3 ~ 6 months showed no recurrence in both groups. There were no complications in the observation group and 3 cases in the control group with transient third degree atrioventricular block. The incidence of complications in the two groups was higher than that in the control group (P 0.05). Conclusion compared with conventional radiofrequency ablation, Carto3 system guided pressure catheter ablation has lower ablation power, less ablation times, does not prolong the operation time, is safe and effective in the treatment of AVNRT, and can avoid the harm caused by X-ray.
【作者單位】： 南方醫(yī)科大學(xué)南方醫(yī)院;
【基金】：廣東省科技計(jì)劃項(xiàng)目(2013B021800140) 廣州市科技計(jì)劃項(xiàng)目(201300000146)
【分類號】：R541.71

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 楊延宗,林治湖,劉少穩(wěn),柯若儀;導(dǎo)管射頻消融術(shù)治療持續(xù)性交界區(qū)反復(fù)性心動(dòng)過速2例報(bào)告[J];中國介入心臟病學(xué)雜志;1993年03期

2 丁振江,馬家驥,李春華,劉桂琴;導(dǎo)管射頻消融術(shù)治療房室折返性心動(dòng)過速12例[J];實(shí)用心腦肺血管病雜志;1997年04期

3 楊敏全，李國慶，許力舒，石磊，馬偉，汪公亮;導(dǎo)管射頻消融術(shù)治療房室多旁路一例[J];心臟起搏與心電生理雜志;1994年04期

4 程訓(xùn)民;駱合德;邱一華;陳敏雄;;導(dǎo)管射頻消融術(shù)治療左室特發(fā)性室性心動(dòng)過速[J];南京部隊(duì)醫(yī)藥;2001年01期

5 謝啟應(yīng);蒲曉群;楊天倫;李傳昶;;導(dǎo)管射頻消融術(shù)發(fā)生并發(fā)癥的時(shí)間及轉(zhuǎn)歸[J];中國內(nèi)鏡雜志;2010年11期

6 田福利,李學(xué)永,安東記;導(dǎo)管射頻消融術(shù)的并發(fā)癥[J];華北國防醫(yī)藥;2002年05期

7 王業(yè)松;孫愛嬌;;心臟導(dǎo)管射頻消融術(shù)[J];新醫(yī)學(xué);2009年01期

8 張樹龍,林治湖,楊延宗,高連君;導(dǎo)管射頻消融術(shù)對心率變異性的影響(摘要)[J];中華心血管病雜志;1997年02期

9 張樹龍，高連君，楊延宗，，林治湖;右側(cè)房室旁路導(dǎo)管射頻消融術(shù)對心率變異性的影響[J];中國循環(huán)雜志;1996年02期

10 唐紅;馮媛媛;舒茂琴;;導(dǎo)管射頻消融術(shù)對房顫患者左心房結(jié)構(gòu)的影響[J];重慶醫(yī)學(xué);2011年21期

相關(guān)會(huì)議論文 前2條

1 儲(chǔ)慧民;何斌;劉晶;郁一波;豐明俊;陳曉敏;沈才杰;;心房顫動(dòng)導(dǎo)管射頻消融術(shù)后五例急性肺水腫分析[A];2011年浙江省心電生理與起搏學(xué)術(shù)年會(huì)論文匯編[C];2011年

2 禹海文;唐閩;婁瑩;馬堅(jiān);方丕華;張澍;;心房顫動(dòng)導(dǎo)管射頻消融術(shù)后患者華法林穩(wěn)定劑量的預(yù)測模型[A];中華醫(yī)學(xué)會(huì)心電生理和起搏分會(huì)第十次全國學(xué)術(shù)年會(huì)會(huì)議匯編[C];2012年

相關(guān)碩士學(xué)位論文 前8條

1 司華峰;經(jīng)導(dǎo)管射頻消融術(shù)對不同類型的房顫患者的療效觀察[D];鄭州大學(xué);2014年

2 王明杰;左房功能對房顫導(dǎo)管射頻消融術(shù)后復(fù)發(fā)的預(yù)測分析[D];吉林大學(xué);2016年

3 王錫剛;導(dǎo)管射頻消融術(shù)對血栓栓塞高危的心房顫動(dòng)患者術(shù)后卒中的影響[D];大連醫(yī)科大學(xué);2013年

4 張印明;導(dǎo)管射頻消融術(shù)對凝血的影響[D];山東大學(xué);2007年

5 鄭雨竹;房顫射頻消融術(shù)后復(fù)發(fā)的預(yù)測因素分析[D];吉林大學(xué);2015年

6 馮媛媛;導(dǎo)管射頻消融術(shù)治療心房顫動(dòng)的臨床療效評估[D];第三軍醫(yī)大學(xué);2009年

7 王曉會(huì);導(dǎo)管射頻消融術(shù)對陣發(fā)性心房顫動(dòng)患者胃排空時(shí)間影響的臨床研究[D];大連醫(yī)科大學(xué);2011年

8 韓丹;環(huán)肺靜脈線性消融術(shù)后P波相關(guān)參數(shù)的改變對陣發(fā)性房顫患者消融后復(fù)發(fā)的預(yù)測價(jià)值[D];大連醫(yī)科大學(xué);2015年

本文編號：2013405