CartoUnivu與Carto3指導(dǎo)射頻消融治療快速心律失常的X線受照劑量的比較研究
發(fā)布時間：2019-04-24 04:52
【摘要】：目的:通過比較CartoUnivu系統(tǒng)與Carto3系統(tǒng)指導(dǎo)經(jīng)導(dǎo)管射頻消融治療快速心律失�；颊叩腦線受照劑量、X線曝光劑量,探討CartoUnivu系統(tǒng)的應(yīng)用優(yōu)勢。方法:連續(xù)入選2016年3月至2017年3月在廣西醫(yī)科大學(xué)第一附屬醫(yī)院住院為陣發(fā)性室上性心動過速(PSVT)及室性早搏和/或室性心動過速(PVC/VT)并行經(jīng)導(dǎo)管射頻消融治療的快速心律失常患者,PSVT患者和PVC/VT患者按手術(shù)日期以1:1的比例各分為Carto Univu組(CU組)和Carto3組(C3組)。分別比較CU組和C3組的手術(shù)成功率、并發(fā)癥發(fā)生率、手術(shù)時間、X線曝光時間、X線曝光劑量、患者4個部位X線受照劑量(甲狀腺、左背部、會陰部、左上臂)、術(shù)者10個部位X線受照劑量(眼睛、甲狀腺鉛圍脖內(nèi)、甲狀腺鉛圍脖外、左胸部鉛衣內(nèi)、左胸部鉛衣外、會陰部鉛衣內(nèi)、會陰部鉛衣外、左手小指、右手小指、左腳踝)的差異。結(jié)果:快速心律失�；颊�58例,其中,PSVT 42例(CU組21例,C3組21例),PVC/VT 16例(CU組8例,C3組8例),全部消融成功,無嚴(yán)重并發(fā)癥發(fā)生。PSVT射頻消融治療,CU組與C3組比較,手術(shù)時間、X線曝光時間、X線曝光劑量、患者4個部位X線受照劑量、術(shù)者10個部位X線受照劑量均相似,無顯著差異(P0.05)。PVC/VT射頻消融治療,CU組與C3組比較,手術(shù)時間、患者左背部X線受照劑量、術(shù)者7個部位(甲狀腺鉛圍脖內(nèi)、甲狀腺鉛圍脖外、左胸部鉛衣內(nèi)、左胸部鉛衣外、會陰部鉛衣內(nèi)、會陰部鉛衣外、左手小指)X線受照劑量均無顯著差異(P0.05),X線曝光時間、X線曝光劑量、患者3個部位(甲狀腺、會陰部、左上臂)X線受照劑量、術(shù)者3個部位(眼睛、左手小指、左腳踝)X線受照劑量均明顯減少(P0.05)。術(shù)后隨訪6±2個月兩組均無復(fù)發(fā)臨床快速心律失常。結(jié)論:應(yīng)用CartoUnivu系統(tǒng)指導(dǎo)射頻消融治療PVC/VT優(yōu)于Carto3系統(tǒng),顯著減少了X線曝光時間、X線曝光劑量、患者和術(shù)者X線受照劑量。
[Abstract]:Aim: to compare the X-ray irradiation dose and X-ray exposure dose of CartoUnivu system and Carto3 system in guiding radiofrequency catheter ablation for patients with tachyarrhythmia, and to explore the advantages of CartoUnivu system in application. Methods: from March 2016 to March 2017, patients with paroxysmal supraventricular tachycardia (PSVT), ventricular premature beat (PVC/VT) and / or ventricular tachycardia (PVC/VT) were admitted to the first affiliated Hospital of Guangxi Medical University. Patients with tachyarrhythmia treated with frequent ablation, Patients with PSVT and PVC/VT were divided into Carto Univu group (CU group) and Carto3 group (C3 group) at 1:1 according to the operation date. The successful rate of operation, complication rate, operation time, X-ray exposure dose and X-ray exposure dose (thyroid, left back, perineum, left upper arm) in CU group and C3 group were compared. X-ray irradiation dose (eyes, thyroid lead neck, left chest lead coat, perineal lead coat, left small finger, right hand little finger) were exposed to X-ray at 10 sites (eyes, thyroid lead neck, left chest lead coat, perineal lead coat, left hand small finger, right hand small finger). The difference between the left ankle and the left ankle. Results: among 58 patients with tachyarrhythmia, 42 were PSVT (CU 21, C3 21), 16 PVC/VT (CU 8, C3 8). Compared with C3 group, the operation time, X-ray exposure dose, X-ray exposure dose at 4 sites, and X-ray exposure dose at 10 sites were similar in CU group and C3 group, and there was no significant difference between the two groups (P0.05). Compared with C3 group, the time of operation, the dose of X-ray irradiation on the left back of the CU group were compared with those of the C3 group. The 7 sites of the patients (thyroid lead neck, left chest, perineum and perineum) were compared with those in the C3 group, the operation time and the dose of X-ray irradiation on the left back of the patient were compared. There was no significant difference in X-ray dose (P0.05), X-ray exposure time, X-ray exposure dose, X-ray exposure dose in 3 sites (thyroid, perineum, left upper arm) of the patients, and 3 sites (eyes, eyes) of the patients, but no significant difference was found in the X-ray exposure dose of the left small finger (P0.05). The dose of X-ray irradiation of left small finger and left ankle was significantly decreased (P0.05). After 6 鹵2 months follow-up, there was no recurrence of tachyarrhythmia in both groups. Conclusion: the radiofrequency ablation with CartoUnivu system is superior to Carto3 system in the treatment of PVC/VT, and the time of X-ray exposure, the dose of X-ray exposure of the patients and the surgical patients are significantly reduced.
【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】：2017
【分類號】：R541.7
本文編號：2464118
[Abstract]:Aim: to compare the X-ray irradiation dose and X-ray exposure dose of CartoUnivu system and Carto3 system in guiding radiofrequency catheter ablation for patients with tachyarrhythmia, and to explore the advantages of CartoUnivu system in application. Methods: from March 2016 to March 2017, patients with paroxysmal supraventricular tachycardia (PSVT), ventricular premature beat (PVC/VT) and / or ventricular tachycardia (PVC/VT) were admitted to the first affiliated Hospital of Guangxi Medical University. Patients with tachyarrhythmia treated with frequent ablation, Patients with PSVT and PVC/VT were divided into Carto Univu group (CU group) and Carto3 group (C3 group) at 1:1 according to the operation date. The successful rate of operation, complication rate, operation time, X-ray exposure dose and X-ray exposure dose (thyroid, left back, perineum, left upper arm) in CU group and C3 group were compared. X-ray irradiation dose (eyes, thyroid lead neck, left chest lead coat, perineal lead coat, left small finger, right hand little finger) were exposed to X-ray at 10 sites (eyes, thyroid lead neck, left chest lead coat, perineal lead coat, left hand small finger, right hand small finger). The difference between the left ankle and the left ankle. Results: among 58 patients with tachyarrhythmia, 42 were PSVT (CU 21, C3 21), 16 PVC/VT (CU 8, C3 8). Compared with C3 group, the operation time, X-ray exposure dose, X-ray exposure dose at 4 sites, and X-ray exposure dose at 10 sites were similar in CU group and C3 group, and there was no significant difference between the two groups (P0.05). Compared with C3 group, the time of operation, the dose of X-ray irradiation on the left back of the CU group were compared with those of the C3 group. The 7 sites of the patients (thyroid lead neck, left chest, perineum and perineum) were compared with those in the C3 group, the operation time and the dose of X-ray irradiation on the left back of the patient were compared. There was no significant difference in X-ray dose (P0.05), X-ray exposure time, X-ray exposure dose, X-ray exposure dose in 3 sites (thyroid, perineum, left upper arm) of the patients, and 3 sites (eyes, eyes) of the patients, but no significant difference was found in the X-ray exposure dose of the left small finger (P0.05). The dose of X-ray irradiation of left small finger and left ankle was significantly decreased (P0.05). After 6 鹵2 months follow-up, there was no recurrence of tachyarrhythmia in both groups. Conclusion: the radiofrequency ablation with CartoUnivu system is superior to Carto3 system in the treatment of PVC/VT, and the time of X-ray exposure, the dose of X-ray exposure of the patients and the surgical patients are significantly reduced.
【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】：2017
【分類號】：R541.7
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