经房间隔路径房颤消融同期瓣膜置换早期研究  

The early outcomes of surgical ablation atrial fibrillation combined valve replacement through atrial septal

作　　者：陈灏 杨庆军[1] 严宇[1] 吴洪坤[1] 罗永金[1] 余杨[1] 喻鹏凌[1] 

机构地区：[1]重庆市中山医院心血管外科,400013

出　　处：《重庆医学》2013年第18期2095-2097,共3页Chongqing medicine

摘　　要：目的探索经房间隔路径行瓣膜置换同期射频消融改良迷宫手术治疗房颤的安全性和疗效。方法 2011年1月至2012年1月,在经房间隔路径行瓣膜手术的同时采用双极射频消融钳行改良迷宫手术(MAZEⅢ)(n=28),同期相似条件仅行瓣膜手术的患者做对照(n=26),随访6～10个月。结果两组患者术前无明显差别,术后均存活,消融组术后窦性维持率85.71%,对照组仅15.38%,消融组左室射血分数(57.68±11.56)改善较对照组(55.22±6.19)明显,消融组左房直径(46.76±10.60)回缩较对照组(56.19±13.53)明显,差异有统计学意义;两组在ICU、术后住院时间方面比较无明显差异,引流量方面比较无明显差异,两组围术期并发症比较无明显差别。结论经房间隔路径行瓣膜置换同期射频消融治疗房颤操作简单、有效、安全。Objective The concomitant surgical ablation of atrial fibrillation is usually accomplish by left atrial incision.The aim of this study is to research the safety and effect of concomitant surgical ablation through atrial septal incision.Methods 28 patients received concomitant surgical ablation and valve replacement（ablation group）.And 26 patients received only valve replacement（control group）.Results After a mean follow-up of 7.2（6-10） months,85.71% patients in ablation group had recovered sinus rhythm,and which in contral group was just 15.38%.The left venttrical ejectipon fraction（LVEF）（57.68±11.56）and diameter of left atrial（46.76±10.60） in ablation group was better than control group（55.22±6.19 and 56.19±13.53）.The time in ICU,days after operation and drainage volume weren′t obvious different between two group.Conclusion Surgical ablation atrial fibrillation combined valve replacement through atrial septal is safety,good effect and easy to operation.

关 键 词：心脏瓣膜 人工 心房颤动 导管消融术 迷宫术 风湿性心脏病 

分 类 号：R654.2[医药卫生—外科学]