射频消融治疗快速心律失常疗效初步分析  

Radiofrequency ablation of tachyarrhythmia

作　　者：张许文[1] 张春红 解放军第304医院心内科 罗北捷[1] 易周[1] 黄党生[1] 

机构地区：[1]解放军第304医院心内科 [2]100037北京

出　　处：《感染．炎症．修复》2001年第4期223-225,共3页Infection Inflammation Repair

摘　　要：目的:对我科近年来14例快速心律失常的射频消融疗效进行总结。方法:14例患者中,术前体表12导心电图及食道调搏诊断为室上性心动过速,心内电生理检查确诊9例为左侧旁道,3例为房室结双径路,经射频消融旁道及慢径;另有2例为室性心动过速,采用起搏标测,标测位置满意后射频消融。结果:12例室上性心动过速病人手术成功率100%,无一例严重并发症,长期随访无一例复发。2例室性心动过速病人,一例手术成功,术后一年复发,一例手术失败。结论:射频消融是目前治疗折返引起的室上性心动过速的唯一创伤小、危险少、效果最满意的方法。目前除一些左室特发性室速及束支折返性室性心动过速外,室性心动过速的发病机理还不完全明确,消融结果欠满意,且复发率高。因手术费用较高,室性心动过速病人手术应慎重,可作为顽固性室速药物治疗无效情况下的一种补充办法。Objective: To summarize the treatment effect of radiofrequency ablation on fourteen patients with tachyarrhythmia. Methods: Fourteen patients were diagnosed as supraventricular tachycardia including nine left accessory pathways and three dual atrioventricular nodal pathways. Radiofrequency ablation was performed in two patients with ventricular tachycardia with pace mapping technique. Results: All the accessory and slow pathways were successfully ablated without severe complications. There was no recurrence by follow-up. Ventricular tachycardia was successfully ablated in one patient, but recurred in one year. Condnsion: Radiofrequency ablation is a safe and effective treatment for patients with supraventricular tachycardia. Except for idiopathic and bundle reentrant ventricular tachycardia, the mechanism of ventricular tachycardia is not very clear. The successful rate is not satisfactory. Appopriate selection of these patients is very important.

关 键 词：射频消融 心动过速 

分 类 号：R54[医药卫生—心血管疾病]