三维标测系统指导微射线下行双腔起搏器植入术的可行性探讨  

Feasibility of DDD Pacemaker Implantation Under EnS ite Systerm Guidance With Micro X-ray

作　　者：张荣君 邵明凤[1] 张守文[1] 魏延津[1] 李新华[1] ZHANG Rong-jun;SHAO Ming-feng;ZHANG Shou-wen;WEI Yan-jin;LI Xin-hua.(Department of Cardiology, People＇s Hospital of Linyi City, Linyi （276004）, Shandong, Chin)

机构地区：[1]临沂市人民医院心内科,山东省276004

出　　处：《中国循环杂志》2018年第2期178-180,共3页Chinese Circulation Journal

基　　金：临沂市科技发展计划项目(201515005);山东省医药卫生科技发展计划项目(2015WS0369)

摘　　要：目的:探讨三维标测系统(En Site)指导微射线下双腔(DDD)起搏器植入术的可行性。方法:5例需尽量避免X线辐射、行永久起搏器植入术的患者,在En Site指导下行DDD起搏器植入。结果:5例患者均顺利完成En Site指导微射线下DDD起搏器植入术,术后均无导线脱位或穿孔发生,X线皮肤表面累积入射剂量为(2.20±0.45)m Gy,术中透视时间为(11.60±2.07)s,手术时间为(58.40±4.04)min。结论:En Site指导微射线下DDD起搏器植入术安全、可行。Objective： To explore the feasibility of DDD pacemaker implantation under EnS ite system guidance with micro X-ray. Methods： DDD pacemaker implantation under EnS ite system guidance with micro X-ray was performed in 5 special patients who needed cardiac pacing while should be avoid X-ray exposure. Results： All 5 patients were smoothly finished DDD pacemaker implantation, no wire dislocation or perforation occurred after the operation. The cumulative skin radiation dose was（2.20±0.45） mG y, operative X-ray exposure time was（11.60±2.07） s and the operation time was（58.40±4.04） min.Conclusion： DDD pacemaker implantation under EnS ite system guidance with micro X-ray was safe and feasible.

关 键 词：三维标测系统 X线 心脏起搏器 人工 

分 类 号：R54[医药卫生—心血管疾病]