射频消融术治疗阵发性室上性心动过速疗效及体会  

Radiofrequency Catheter Ablation for Patients with Supraventricular Tachycardia

作　　者：龚艳艳[1] 章鸿[1] 熊恩来[1] 晋从海[1] 

机构地区：[1]安徽省铜陵市人民医院心内科,244000

出　　处：《实用全科医学》2005年第4期309-310,共2页Applied Journal Of General Practice

摘　　要：目的了解导管射频消融(RFCA)对阵发性室上性心动过速的治疗效果,并试图总结实用有效的常规消融方法。方法采用RFCA治疗36例阵发性室上性心动过速的患者。结果36例患者行RFCA,SVT消融成功率94.4%,右侧旁道消融成功率低于左侧旁道及房室结慢径消融的成功率(75%VS100%及92.3%;P均<0.05),随访(26.5±23.8)个月,2例复发再次消融成功。全组仅有2例并发症。结论提示导管射频消融治疗阵发性室上性心动过速是有效的安全的,严格掌握适应症及操作技能,努力减少并发症是消融治疗的关键。Objective To investigate the clinical value of radiofrequency catheter ablation(RFCA)for patients with supraventricular tachycardia(SVT) and to explore a practical and effective ablation procedure. Methods RFCA was used for 36 cases with supraventricular tachycardia. Results The successful rate of ablation SVT was 94.4%. The successful rate of ablating right accessory pathway was lower than that of left accessory pathway and slow pathway (75% vs 100% and 92.3%, P<0.05).Two cases recurred and underwent ablation again during a mean follow up (26.5±23.8)months. Conclusions RFCA for patients with SVT is effective and safe.

关 键 词：阵发性室上性心动过速 射频消融术 导管射频消融治疗 房室结慢径消融 右侧旁道消融 治疗效果 消融方法 左侧旁道 操作技能 并发症 功率 SVT 适应症 患者 

分 类 号：R541.71[医药卫生—心血管疾病] R541.710.5[医药卫生—内科学]