B型预激综合征左、右后间隔旁道体表心电图定位诊断价值  

Positioned diagnosis value of surface electrocardiogram for localization of left and right posterior septal atrioventricular accessory pathway in type B Wolff -Parkinson -White syndrome

作　　者：田福利[1] 安东记[1] 郭继鸿[2] 永福[1] 杜日映[3] 袁芳 张馥 

机构地区：[1]解放军251医院心内科,075000 [2]北京医科大学人民医院心内科 [3]解放军第四军医大学唐都医院心内科

出　　处：《心电学杂志》2000年第2期71-73,共3页Journal of Electrocardiology(China)

摘　　要：为探讨B型预激综合征后间隔旁道的位置与体表心电图特征性改变的关系 ,观察80例B型预激综合征 ,以射频导管消融术的结果作对照 ,寻找左、右后间隔旁道位置相关体表心电图11项指标 ,符合其中8项即可作出后间隔旁道定位诊断。用此标准对术后80例患者重新定位 ,结果显示其鉴别诊断敏感性、特异性和准确率在右后间隔旁道分别是88.2 %、83.3%和77.5 % ,而左后间隔是83.3%、88.2 %、87.5%。认为体表心电图特征性改变对于B型预激综合征左、右后间隔旁道的定位诊断有重要意义。To discuss correlation between posterior septal accessory pathway site of type B Wolff _ Parkinson _ White syndrome(WPW) and characteristics change of surface electrocardiogram(ECG).Results of radiofrequency current ablation (RFCA) of 80 cases type B WPW on control groups was to find out relative between eleven characteristics of surface ECG and locating posterior septal accessory pathway site ,then,criteria Positioned diagnosis of left and right posterior septal accessory pathway was established.Results showed its sensitivity, specificity and correct rate respectively were 88.2%,83.3% and 77.5% in right posterior septal accessory pathway, 83.3%,88.2% and 87.5% in left posterior septal accessory pathway. Change of eleven characteristics prove to be important value for positioned diagnosis of left and right posterior septal accessory pathways in type B WPW syndrome.

关 键 词：后间隔旁道 B型预激综合征 体表心电图 定位诊断 

分 类 号：R541.7[医药卫生—心血管疾病]