多条旁道的射频消融治疗体会  

The experience of radiofrequency ablation for treatment of multiple accessory pathways

作　　者：施广飞[1] 吉文庆[1] 徐伟[1] 余洪松[1] 黄申申[1] 曹巧兰[1] 

机构地区：[1]南京大学医学院鼓楼医院心脏科,南京市210008

出　　处：《岭南心血管病杂志》1999年第2期87-90,共4页South China Journal of Cardiovascular Diseases

摘　　要：目的　回顾分析多条旁道射频消融成功的经验。　方法　分析１９９４ 年以来射频消融与旁道有关的室上速病人１５０ 例。结果　８ 例多条旁道病人中，４ 例在消融前电生理检查时已能诊断多旁道，另外４ 例只有当切断一条旁道后才能暴露出另一条旁道。结论　右心多条旁道由于无明确参考电图，寻找成功靶点有时十分困难，标测范围不应受事先设想的框框限制。Objective To analyse retrospectively the experience of radiofrequency ablation for successful treatment of multiple accessory pathways(APS).Methods 150 patients with supraventricular tachycadia related to Aps have undergone radiofrequency ablation since 1994. The data was analysed. Results 8 patients with multiple Aps were cured. 4 patients could be diagnoesd to have multiple Aps during electrophysiologic study before ablation, and in the remaining 4 patients the multiple Aps could only be diagnosed after successful ablation of one Ap.Conclusions Right-sided multiple Aps are sometimes very difficult to ablate because there are no standard reference electrograms for bracketing the earliest site, mapping area should be broader rather than limited by preestablished idea.

关 键 词：多条旁道 房室旁道 射频消融术 

分 类 号：R541.7[医药卫生—心血管疾病]