双极射频消融联合二尖瓣峡部切开在瓣膜病合并房颤中的应用  

Application of Bipolar Radiofrequency Ablation Combined with Mitral Isthmus Incision in Valvular Disease Complicated with Atrial Fibrillation

作　　者：孙来龙 张松林 刘朝兵 Sun Lailong;Zhang Songlin;Liu Chaobin(Department of Cardiothoracic Surgery,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University&Institute of Cardiovascular Disease,China Three Gorges University&Yichang Heart Center,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]胸心外科&三峡大学心血管病研究所&宜昌市心脏中心,湖北宜昌443003

出　　处：《巴楚医学》2023年第4期29-31,共3页Bachu Medical Journal

基　　金：湖北省自然科学基金面上项目(No:2020CFB533)。

摘　　要：心脏瓣膜病合并房颤是心血管外科常见疾病,瓣膜病后期并发房颤后可进一步导致患者心功能恶化,诱发血栓栓塞事件。常用的房颤治疗方案有药物保守治疗、内科导管消融及外科直视下消融等,而外科直视下消融是目前房颤治疗中最有效、转窦律最高的手段之一。本单位对房颤消融经过多年的反复摸索及改进,发现双极射频消融联合二尖瓣峡部切开对于瓣膜病合并房颤患者的疗效较好。本文就该术式进行简要介绍。Valvular heart disease complicated with atrial fibrillation is a common disease in cardiovascular surgery.Valvular heart disease complicated with atrial fibrillation in the later stage can further worsen the heart function of patients and lead to thromboembolic events.The commonly used treatment options for atrial fibrillation include drug conservative treatment,medical catheter ablation and surgical ablation under direct view.Surgical ablation under direct view is one of the most effective methods for the treatment of atrial fibrillation.After years of exploration and improvement of surgical ablation of atrial fibrillation,we found that bipolar radiofrequency ablation combined with mitral isthmus incision was effective for patients with valvular disease combined with atrial fibrillation.This paper introduces the operation briefly.

关 键 词：双极射频消融 二尖瓣峡部 瓣膜病合并房颤 

分 类 号：R542.5[医药卫生—心血管疾病]