高频电刀在永久性心脏起搏器术中的应用  

Application of high frequency electrosurgical equipment of pacemaker surgery

作　　者：张学丹 刘兵 胡淼阳 王西辉[1] 解飞[1] 胡培静 ZHANG Xuedan;LIU Bing;HU Miaoyang;WANG Xihui;XIE Fei;HU Peijing(The Second Affiliated Hospital of Xi'an Medical College,Xi'an,710038,China;Department of Cardiology,Xijing Hospital,Air Force Medical University)

机构地区：[1]西安医学院第二附属医院心血管内科,西安710038 [2]空军军医大学西京医院心血管内科

出　　处：《临床心血管病杂志》2023年第6期471-473,480,共4页Journal of Clinical Cardiology

基　　金：第一批陕西省临床重点专科培育项目。

摘　　要：目的:探讨高频电刀在永久性心脏起搏器植入术及更换术中的安全性。方法:观察永久性心脏起搏器植入术及更换术中应用高频电刀对术后囊袋血肿发生的影响,对更换起搏器者随访观察电极参数的变化情况。结果:高频电刀在344例起搏器植入或更换患者中囊袋血肿发生率为0。在6个月~1年随访期间,更换起搏器的患者电极的阈值、感知及阻抗均正常,且各参数前后变化无统计学差异。结论:高频电刀在起搏器植入及更换术中应用安全、可靠。Objective: To explore the safety of high frequency electrosurgical equipment of implantation and replacement of permanent cardiac pacemaker. Methods: We observed the effect of high frequency electrosurgical equipment of the occurrence of postoperative pocket hematoma during pacemaker implantation and replacement, and understood the changes of electrode parameters of pacemaker changers. Results: The incidence of pocket hematoma in 344 patients with pacemaker implantation or replacement was 0. During the follow-up period from six months to one year, wave amplitude, threshold and impedance of the pacing system of patients with pacemaker replacement were normal, and there was no significant difference in parameter changes. Conclusion: It is safe and reliable to use high frequency electrosurgical equipment in pacemaker implantation and replacement.

关 键 词：永久性心脏起搏器 高频电刀 囊袋血肿 

分 类 号：R541.7[医药卫生—心血管疾病]