心内直视术同期行Cox-Maze Ⅳ迷宫术治疗心房颤动的影响因素  

Related factors of recurrence of atrial fibrillation in patients undergoing open heart surgery combined with Cox-Maze Ⅳprocedure

作　　者：丁丹 吴佳伟 范怡伦 薛松[1] 黄日太[1] DING Dan;WU Jiawei;FAN Yilun;XUE Song;HUANG Ritai(Department of Cardiovascular Surgery,Renji Hospital,Shanghai Jiao Tong University School of Medicine,200127 Shanghai,China)

机构地区：[1]上海交通大学医学院附属仁济医院心血管外科,200127

出　　处：《国际心血管病杂志》2020年第4期239-243,共5页International Journal of Cardiovascular Disease

基　　金：上海交大医学院附属仁济医院临床科研创新培育基金计划(PYMDT-008)。

摘　　要：目的:分析心内直视术同期行Cox-MazeⅣ迷宫术治疗心房颤动(房颤)的影响因素。方法:收集2013年1月至2018年6月心内直视术同期行Cox-MazeⅣ迷宫术的322例患者资料。根据随访期心电图结果,将患者分为随访窦性组(n=248)与随访房颤组(n=74),分析影响房颤复发的独立危险因素。结果:随访窦性组与随访房颤组在性别、高血压史、左房内径等方面的差异均有统计学意义(P均<0.05),女性、高血压史、左房内径是房颤复发的独立危险因素。结论:心内直视术同期行Cox-MazeⅣ迷宫术治疗房颤的疗效是可靠的,女性、高血压史、左房内径是影响手术疗效的危险因素。Objective:To analyze the related factors of recurrence of atrial fibrillation(AF) in patients who underwent open heart surgery combined with Cox-Maze Ⅳprocedure. Methods:Clinical data of 322 patients who underwent open heart surgery combined with Cox-Maze Ⅳprocedurefrom January 2013 to June 2018 were collected. According to the electrocardiogram results during the follow-up, patients were divided into the sinus rhythm group(n=248) and the AF group(n=74) to analyze the independent risk factors for the recurrence of AF. Results:There were significant differences in gender, hypertension history and left atrial diameter between the two groups(all P<0.05). Female, hypertension history and left atrial diameter were the risk factors for recurrence of AF. Conclusions:Open heart surgery combined with Cox-Maze Ⅳprocedure is an efficacy and reliable method for the treatment of AF. Female, history of hypertension and left atrial diameter are the factors that affect the efficacy of the surgery.

关 键 词：Cox-MazeⅣ迷宫术 心房颤动 随访 

分 类 号：R541.75[医药卫生—心血管疾病]