两种不同的特发性室性心动过速射频消融治疗的比较  

Comparing radiofrequency catheter ablation for two types of idiopathic ventricular tachycardia

作　　者：程久佩 罗骏[2] 张丰富[3] 方存明 

机构地区：[1]安徽省宣城市人民医院心内科,安徽宣城242000 [2]江西省心血管病研究所(江西省人民医院心内科),江西南昌330006 [3]南京医科大学附属南京第一医院心内科,江苏南京210009

出　　处：《中国现代医学杂志》2009年第3期453-455,共3页China Journal of Modern Medicine

摘　　要：目的评价射频消融治疗右室流出道和左室特发性室性心动过速(室速)的有效性和安全性。方法对2001年1月～2007年5月诊断为右心室流出道室速的37例和左室特发性室速26例患者进行射频消融治疗,观察其疗效、安全性和随访复发的情况。结果37例右心室流出道室速经射频消融治疗成功33例,成功率为89.19%,复发2例,无严重的并发症。左室特发性室速26例患者经射频消融治疗手术,成功消融24例,成功率92.31%,1例复发。二者手术成功率、复发率及严重并发症无差别。结论射频消融治疗右心室流出道室速和左室特发性室速同样安全有效。[Objective] To evaluate the efficacy and safety of radiofrequency catheter ablation for right ventricular outflow tract ventricular tachycardia （RVOTVT） and idiopathic left ventricular tachycardia （ILVT）. [Methods] Thirty-seven cases with RVOTVT and twenty-six cases with ILVT from Jan 2001-May 2007 were treated by radiofrequency catheter ablation. The efficacy and safety was compared between the two kinds of VT cases and the relapse was followed up. [Results] Thirty-three of thirty-seven cases with RVOTVT were ablated successfully. The efficacy of ablation was 89.19%. Relapse occurred in two eases without severe complications. Twenty-four of twenty-six cases （92.31%） with ILVT were abated successfully, whereas relapse occurred in one case. There was no statistically difference of the efficacy, rate of relapse and severe complications between the two study groups. [Conclusion] The efficacy and safety of radiofrequency catheter ablation for RVOTVT consistent with that for ILVT.

关 键 词：心动过速 室性 导管消融术 心电描记术 

分 类 号：R441.4[医药卫生—诊断学]