射频消融治疗快速心律失常临床疗效观察  

Clinical Efficacy of Radiofrequency Ablation in Tachyarrhythmia

作　　者：白英华[1] 王智勇[1] 李银光[1] 高江峰[1] 

机构地区：[1]内蒙古自治区医院保健分院,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2007年第1期40-41,共2页Inner Mongolia Medical Journal

摘　　要：目的：观察我院开展射频消融术治疗快速心律失常的临床疗效及安全性。方法：分析我院自1993～2004年住院行射频消融根治术的291例快速心律失常的电生理特性、成功率、复发率及并发症。结果：291例快速心律失常中，房室结折返性心动过速（AVNRT）93例；隐匿性旁道178例，其中左侧旁道91例，右侧旁道87例；显性预激（WPW）18例，其中A型预激10例，B型预激8例；合并房扑2例，合并室速1例，多旁道者13例，经射频消融均获成功。3个月内复发者2例，出现一过性2：1房室传导阻滞1例，致右侧气胸1例。复发者经再次消融成功。结论：经导管射频消融治疗快速心律失常成功率高，且安全、可靠，是目前治疗快速心律失常的首选方法。objective： To investigate the clinical efficacy and safety of radiofrequency ablation in tachyarrhy thmia.Methods：From 1993 to 2004, 291 patients were treated with radiofrequency ablation in Inner Mongolia hospital. Their electro physiological characteristics, recurrence rate and complications were analyzed. Results： Of 291 patients with tachyarrhythmia, 98 were atrioventricular nodal reentrant trachycardia（AVNRT）, 178 were concealed accessory pathway（CAP）including 91 left pathway and 87 right pathway, 18 were WPW including 10 A- form and 8 B - form. There were 2 patients complicated with atrium flutter, 1 with ventricle tachyarrhythmia and 13 with multi- pathways. The immediate successful rate of procedure was 100%. 2 patients were recurrent within 3 months and cured by reablation. There was 2 ： 1 AVB in 1 patient and right aeropleura in 1 patient. Conclusion： Radiofrequency ablation is the first choice for tachyarrhythmia now. The technique is safe and reliable with higher successful rate.

关 键 词：快速心律失常 射频消融术 电生理特性 

分 类 号：R541.7[医药卫生—心血管疾病]