射频消融术治疗快速心律失常449例临床分析  

A Clinic Review of Radiofrequency Catheter Ablation Treated Tachycardia

作　　者：沙勇[1] 张金莉[1] 白向荣[1] 汤蓉[1] 贾绍斌[1] 

机构地区：[1]宁夏医学院附属医院心内科,银川750004

出　　处：《宁夏医学院学报》2007年第3期260-262,共3页Journal of Ningxia Medical College

摘　　要：目的探讨射频消融术(RFCA)治疗快速心律失常的疗效和方法。方法回顾性分析本院449例行RF-CA患者资料,其中包括房室折返性心动过速、房室结折返性心动过速、左室特发性室速、房速患者。结果房室折返性心动过速248例,成功率为98.8%;房室结折返性心动过速187例,成功率为97.8%;左室特发性室速患者共11例,全部成功;房速3例,2例成功,1例行房室结改良术。结论RFCA治疗快速心律失常成功率高,并发症少,是安全有效的方法。Objective To study the method and the treatment of radio frequency catheter ablation for tachycardia. Methods 449 cases with tachycardia who were treated with radiofrequency catheter ablation were reviewed. They included atrioventricular reentrant tachycardia（AVRT）, atrioventricular nodal reentrant tachycardia （AVNRT）, ventricular tachycardia （VT）, atrial tachycardia （AT）. Results The success rate of 98.8% was obtained in 248 cases of AVRT. The success rate of 97.8% was obtained in 187 cases of AVNRT. 11 cases of VT all were successfully performed. Two cases of 3 AT were successfully cured. Atrioventricular nodal medication operation was practiced in 1 patient among 3 cases of AT. Conclusion There are high success rate, less complication in cases with tachycardia treated by radiofrequency catheter ablation. It is a secure and effective treamaent method for tachycardia.

关 键 词：射频消融术 快速心律失常 房室折返性心动过速 房室结折返性心动过速 特发性室速 房速 

分 类 号：R541.7[医药卫生—心血管疾病]